Organization
SPEECH-LANGUAGE PATHWAYS THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORETTA JONES BRUNSON M.A. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(803) 603-2252
Entity
Organization
Contact information
Practice address
708 FAIRWAY LN, COLUMBIA, SC 29210-5715
(803) 603-2252
(803) 798-2892
Mailing address
708 FAIRWAY LN, COLUMBIA, SC 29210-5715
(803) 603-2252
(803) 798-2892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3441
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922075712
—
SC
Enumeration date
07/28/2008
Last updated
07/28/2008
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