Individual
HANNAH LONG TITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
118 PARKER RD, HONEA PATH, SC 29654-9589
(864) 376-4973
Mailing address
118 PARKER RD, HONEA PATH, SC 29654-9589
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5207
SC
251300000X
Local Education Agency (LEA)
5207
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104973577
—
SC
Enumeration date
08/23/2013
Last updated
08/23/2013
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