Individual
MARY ELIZABETH DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1127 QUEENSBOROUGH BLVD STE 104, MOUNT PLEASANT, SC 29464-5431
(843) 216-0290
Mailing address
1127 QUEENSBOROUGH BLVD STE 104, MOUNT PLEASANT, SC 29464-5431
(843) 216-0290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4621
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12004296
CAQH
—
05
—
SA1114
—
SC
Enumeration date
06/17/2009
Last updated
06/07/2023
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