Individual
MR. TODD JAMES VAN GIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
1941 SAVAGE RD, SUITE 400C, CHARLESTON, SC 29407-4704
(843) 571-2700
(843) 571-2124
Mailing address
427 GLENSPRINGS DR, FLETCHER, NC 28732-9269
(828) 684-2735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2823
SC
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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