Individual
MRS. THERESA JANE SCHAEDIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
6010 LANAI LN, TEGA CAY, SC 29708-9320
(803) 370-9547
Mailing address
6010 LANAI LN, TEGA CAY, SC 29708-9320
(803) 370-9547
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4158
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4158
SOUTH CAROLINA STATE LICE
SC
Enumeration date
07/12/2007
Last updated
07/12/2007
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