Individual
SHAVON SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 CEDAR LN, ORANGEBURG, SC 29115-7117
(803) 347-3489
Mailing address
525 CEDAR LN, ORANGEBURG, SC 29115-7117
(803) 347-3489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5103
SC
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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