Individual
LYNETTE MICHELLE DORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
259 RIVER RIDGE WAY, SWANSEA, SC 29160-8287
(843) 345-2401
(800) 711-8650
Mailing address
259 RIVER RIDGE WAY, SWANSEA, SC 29160-8287
(843) 345-2401
(800) 711-8650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5828
SC
235Z00000X
Speech-Language Pathologist
SZ4684
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000-570-800
—
FL
05
—
SA1788
—
SC
Enumeration date
11/26/2008
Last updated
01/02/2025
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