Individual
THERESA J POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1407 ASHLEY RIVER RD, CHARLESTON, SC 29407-5305
(843) 769-0663
(843) 769-0665
Mailing address
1407 ASHLEY RIVER RD, CHARLESTON, SC 29407-5305
(843) 769-0663
(843) 769-0665
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4133
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4133
SPEECH-LANGUAGE LICENSE NUMBER
SC
Enumeration date
03/18/2010
Last updated
01/27/2011
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