Individual
MS. LINDA QUICK PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
452 ROGERS DR, ORANGEBURG, SC 29118-2107
(803) 535-0635
(803) 534-2450
Mailing address
452 ROGERS DR, ORANGEBURG, SC 29118-2107
(803) 535-0635
(803) 534-2450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3644
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0588
—
SC
Enumeration date
03/28/2007
Last updated
07/09/2007
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