Individual
ROBIN NEWSOME ETHEREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
181 TOWN CREEK RD, AIKEN, SC 29803-5841
(803) 642-0700
(803) 642-0588
Mailing address
181 TOWN CREEK RD, AIKEN, SC 29803-5841
(803) 642-0700
(803) 642-0588
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
4885
SC
235Z00000X
Speech-Language Pathologist
Primary
4885
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4885
STATE LICENSE
SC
Enumeration date
12/12/2011
Last updated
03/17/2018
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