Individual
MISS CAROLINE HOLLEY PITTARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
132 TYVOLA DRIVE, SUMMERVILLE, SC 29485-8333
(843) 270-7231
(843) 879-3967
Mailing address
132 TYVOLA DRIVE, SUMMERVILLE, SC 29485-8333
(843) 270-7231
(843) 879-3967
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4029
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0882
—
SC
Enumeration date
03/31/2008
Last updated
02/05/2015
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