Individual
NANCY A LOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCCSP
Contact information
Practice address
1135 RIDGEMONT DR, AIKEN, SC 29803-8846
(803) 648-7784
Mailing address
1135 RIDGEMONT DR, AIKEN, SC 29803-8846
(803) 648-7784
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
443
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0642
—
SC
Enumeration date
09/24/2006
Last updated
08/28/2017
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