Individual
JENNIFER A MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF - SLP
Contact information
Practice address
20 PALM ST, GREENVILLE, SC 29607-2037
(828) 962-6136
Mailing address
20 PALM ST, GREENVILLE, SC 29607-2037
(828) 962-6136
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1605031
NC
235Z00000X
Speech-Language Pathologist
Primary
6329
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211405
—
NC
Enumeration date
02/03/2016
Last updated
08/28/2019
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