Individual
MRS. SERENA VALDIVIESO OSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3518 OLD LAMPLIGHTER RD, COLUMBIA, SC 29206-3420
(404) 909-7648
Mailing address
1040 PARK MANOR TER NW, MARIETTA, GA 30064-1455
(404) 290-1960
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3582
SC
235Z00000X
Speech-Language Pathologist
SLP006461
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596591603A
—
GA
Enumeration date
03/30/2007
Last updated
07/15/2019
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