Individual
MRS. TERESA ANN MOULAIE-BIRGANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 SUNSET DR, MAULDIN, SC 29662-2518
(864) 288-5380
Mailing address
106 SUNSET DR, MAULDIN, SC 29662-2518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001007
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001007
STATE LICENSE NUMBER
SC
01
—
01080064
ASHA ID NUMBER
—
05
—
SA0213
—
SC
Enumeration date
07/12/2006
Last updated
07/08/2007
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