Individual
NICOLE YOUNG-CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
8703 HIGHWAY 17 BYP S, SUITE I, MYRTLE BEACH, SC 29575-7701
(843) 457-1053
(843) 215-2910
Mailing address
8703 HIGHWAY 17 BYP S, SUITE I, MYRTLE BEACH, SC 29575-7701
(843) 457-1053
(843) 215-2910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3868
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0704
—
SC
Enumeration date
06/21/2006
Last updated
08/18/2010
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