Organization
SPEAKEASY THERAPY FACTORY SPEECH LANGUAGE AND SWALLOWING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATEKA KEGLER- TAYLOR M.A., CCC- SLP (SPEECH- LANGUAGE PATHOLOGIST)
(704) 780-0211
Entity
Organization
Contact information
Practice address
344 VIEW DR, BLYTHEWOOD, SC 29016-7252
(704) 780-0211
(803) 470-4709
Mailing address
344 VIEW DR, BLYTHEWOOD, SC 29016-7252
(704) 780-0211
(803) 470-4709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SC 5079
SC
252Y00000X
Early Intervention Provider Agency
SC 5079
SC
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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