Individual
MRS. JENNIFER ALLLISON REIDENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSR, CCC-SLP
Contact information
Practice address
1233 BEN SAWYER BLVD, SUITE 500, MOUNT PLEASANT, SC 29464-4577
(843) 697-0396
(864) 640-8011
Mailing address
1233 BEN SAWYER BLVD, SUITE 500, MOUNT PLEASANT, SC 29464-4577
(843) 697-0396
(864) 640-8011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3695
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0617
—
SC
Enumeration date
04/11/2006
Last updated
10/01/2008
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