Individual
LISA BELLAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5341 HIGHWAY 17, MURRELLS INLET, SC 29576-5074
(843) 855-2333
(843) 903-5541
Mailing address
PO BOX 3045, MYRTLE BEACH, SC 29578-3045
(843) 855-2333
(843) 903-5541
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
11/16/2015
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