Individual
MRS. CARRIE BEACH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
955 SAINT PETERS CHURCH RD, CHAPIN, SC 29036-8197
(803) 331-5620
Mailing address
4 QUEEN OAK CT, IRMO, SC 29063-8495
(919) 624-9152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5105
SC
235Z00000X
Speech-Language Pathologist
6345
NC
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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