Individual
REBEKAH RUSSELL RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
462 N GUIGNARD DR, SUMTER, SC 29150-4029
(803) 983-1649
(803) 774-7785
Mailing address
462 N GUIGNARD DR, SUMTER, SC 29150-4029
(803) 983-1649
(803) 774-7785
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7534
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853664849
—
SC
Enumeration date
04/05/2022
Last updated
04/05/2022
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