Individual
MS. LESLIE MERIA TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P., CCC - SLP
Contact information
Practice address
4920 HARD SCRABBLE RD, APARTMENT 526, COLUMBIA, SC 29229-9363
(803) 699-1142
Mailing address
4920 HARD SCRABBLE RD, APARTMENT 526, COLUMBIA, SC 29229-9363
(803) 699-1142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3705
SC
235Z00000X
Speech-Language Pathologist
SLP006190
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0715
—
SC
Enumeration date
05/01/2006
Last updated
07/09/2007
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