Individual
MISS KRISTIN SMITH MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1400
(864) 331-1416
Mailing address
3 EDGE CT, UNIT B, GREENVILLE, SC 29609-5567
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4650
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373282
—
SC
Enumeration date
06/09/2009
Last updated
06/30/2011
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