Individual
HANNAH BLYTHE VICKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
113 E MAIN ST, LEXINGTON, SC 29072-3449
(803) 704-4759
Mailing address
312 OLD WOOD DR, COLUMBIA, SC 29212-2722
(803) 834-2760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7778
SC
Other
Enumeration date
10/12/2021
Last updated
10/23/2022
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