Individual
LYDIA DONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, SLP
Contact information
Practice address
120 BURLINGTON AVE, GREER, SC 29650-3904
(864) 430-9259
Mailing address
120 BURLINGTON AVE, GREER, SC 29650
(864) 430-9259
(803) 905-4431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
4614
SC
Other
Enumeration date
02/05/2009
Last updated
07/21/2022
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