Individual
MRS. MELISSA SHIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSR, CCC-SLP
Contact information
Practice address
1404 CREEK HOUSE LN, CHARLESTON, SC 29492-8234
(843) 408-8467
(843) 589-1056
Mailing address
1404 CREEK HOUSE LN, CHARLESTON, SC 29492-8234
(843) 408-8467
(843) 589-1056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3158
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0388
—
SC
Enumeration date
06/28/2006
Last updated
05/13/2024
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