Individual
DANIELLE BAUMRUCKER MAYERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1022 BIRCHDALE DR, CHARLESTON, SC 29412-8802
(847) 507-3156
Mailing address
1022 BIRCHDALE DR, CHARLESTON, SC 29412-8802
(847) 507-3156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5135
SC
Other
Enumeration date
08/23/2010
Last updated
09/16/2015
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