Individual
ALLISSA DEASHIA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 MEMORIAL DR, KINGSTREE, SC 29556-5575
(843) 707-5936
Mailing address
1318 N MAIN ST, SUMMERVILLE, SC 29483-7308
(803) 356-6674
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
102677349
SC
Other
Enumeration date
09/24/2025
Last updated
10/24/2025
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