Individual
EDITH H HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SP
Contact information
Practice address
305 HAMPTON TRACE LN, COLUMBIA, SC 29209-1916
(803) 622-8851
(803) 622-8851
Mailing address
305 HAMPTON TRACE LN, COLUMBIA, SC 29209-1916
(803) 622-8851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3596
SC
Other
Enumeration date
10/01/2006
Last updated
12/19/2012
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