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Contact Information

MALLORIE B COSTNER, SLP
507 HUNTINGTON ROAD
EASLEY, SC29642
 Phone: 864-918-2361
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MALLORIE B COSTNER · (Female)

NPI # 1942590088
Status Active
Credentials SLP (Speech-Language Pathologists)
Entity Individual
Enumeration date 04/11/2011
Last updated 06/04/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # SLP - 2084
  • SC License # 5677
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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