Individual
KATHARINE BROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1400
(864) 331-1416
Mailing address
212 E BROAD ST APT 2109, GREENVILLE, SC 29601-3070
(404) 695-9738
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6903
SC
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
05/23/2019
Last updated
06/30/2020
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