Organization
BURNING BUSH SPEECH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA MARIE WAGNER M.S. CCC-SLP (CEO/OWENER)
(803) 339-0135
Entity
Organization
Contact information
Practice address
9948 JACK NICKLAUS DR, LANCASTER, SC 29720-0445
(803) 339-0135
(803) 262-2039
Mailing address
2736 CELANESE RD # 3, ROCK HILL, SC 29732-8440
(610) 816-8489
(803) 262-2039
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
07/05/2025
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