Organization
INNOVATIVE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JOHNSTON SMITHSON MSP, CCC SLP (OWNER, SPEECH PATHOLOGIST)
(910) 736-1861
Entity
Organization
Contact information
Practice address
632 WHITE CHAPEL CIR, CHARLESTON, SC 29412-4351
(910) 736-1861
Mailing address
632 WHITE CHAPEL CIR, CHARLESTON, SC 29412-4351
(910) 736-1861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4259
SC
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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