Individual
MRS. AMBER IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
2848 PLEASANT ROAD, SUITE 101, FORT MILL, SC 29708-9494
(800) 779-4089
(803) 547-9706
Mailing address
2848 PLEASANT ROAD, SUITE 101, FORT MILL, SC 29708-9494
(800) 779-4089
(803) 547-9706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3900
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0777
—
SC
Enumeration date
12/06/2005
Last updated
08/03/2026
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