Individual
ELIZABETH ANN MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
141 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-3569
Mailing address
16 CHADWICK DR, CHARLESTON, SC 29407-7464
(843) 329-9656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4073
SC
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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