Individual
KATHERINE ANNE JANELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
200 LUCY P EDWARDS RD, WOODRUFF, SC 29388-8220
(864) 476-3174
Mailing address
200 LUCY P EDWARDS RD, WOODRUFF, SC 29388-8220
(864) 476-3174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5360
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14037987
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION: CERTIFICATE OF CLINICAL COMPETENCE
SC
01
—
265344
SOUTH CAROLINA STATE BOARD OF EDUCATION: EDUCATOR LICENSE
SC
01
—
5360
DEPARTMENT OF LLR: BOARD OF EXAMINERS IN SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
SC
Enumeration date
08/13/2013
Last updated
09/12/2014
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