Individual
MISS KATIE ELIZABETH PERNOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(864) 527-9454
Mailing address
850 E BUTLER RD, GREENVILLE, SC 29607-5842
(706) 664-8192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4328
SC
Other
Enumeration date
08/04/2008
Last updated
10/06/2016
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