Individual
KATIE LYN FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC- SLP
Contact information
Practice address
2848 PLEASANT RD STE 1091, FORT MILL, SC 29708-9490
(800) 779-4089
(803) 547-9706
Mailing address
316 PALM TERRACE LOOP, CONWAY, SC 29526-8655
(631) 559-5047
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101
SC
Other
Enumeration date
07/19/2021
Last updated
11/21/2024
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