Individual
JOHNNA STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,SLP
Contact information
Practice address
1127 QUEENSBOROUGH BLVD STE 104, MOUNT PLEASANT, SC 29464-5431
(843) 216-0290
Mailing address
PO BOX 1753, MOUNT PLEASANT, SC 29465-1753
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6029
SC
Other
Enumeration date
07/21/2016
Last updated
02/04/2020
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