Individual
MS. JACQUELINE VILLALPANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
27 BOARDMAN RD, CHARLESTON, SC 29407-3722
(843) 200-9600
(843) 872-0511
Mailing address
27 BOARDMAN RD, CHARLESTON, SC 29407-3722
(843) 200-9600
(843) 872-0511
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8128
SC
235Z00000X
Speech-Language Pathologist
CA6851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7866
—
SC
Enumeration date
07/11/2022
Last updated
05/10/2023
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