Individual
SUSAN BREIDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11181 SCULLERS RUN, FORT MILL, SC 29708-9370
(803) 367-2016
Mailing address
11181 SCULLERS RUN, SUSAN BREIDING, TEGA CAY, SC 29708-9375
(803) 367-2016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1389
NC
235Z00000X
Speech-Language Pathologist
254
SC
Other
Enumeration date
11/30/2016
Last updated
12/02/2016
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