Individual
MS. TINA DELUCA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP, M.ED.
Contact information
Practice address
1407 JOY AVE, CHARLESTON, SC 29407-3605
(843) 766-6753
(843) 766-1430
Mailing address
1407 JOY AVE, CHARLESTON, SC 29407-3605
(843) 766-6753
(843) 766-1430
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3225
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0462
—
SC
Enumeration date
05/08/2006
Last updated
07/09/2007
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