Organization
EARTHSHINE SPEECH AND LANGUAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFHTON P STETZER MS, CCC-SLP (OWNER)
(770) 841-0564
Entity
Organization
Contact information
Practice address
1 CHICK SPRINGS RD STE 101, GREENVILLE, SC 29609-4953
(770) 841-0564
Mailing address
734 BENNETT ST, GREENVILLE, SC 29609-5723
(770) 841-0564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
10/15/2021
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