Individual
ALISSA GREEN YEARGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
200 PATEWOOD DR, SUITE B400, GREENVILLE, SC 29615-3593
(864) 454-4368
(864) 454-4348
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4471
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1251
—
SC
Enumeration date
02/28/2012
Last updated
02/19/2018
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