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Contact Information

PALMETTO SPEECH & LANGUAGE ASSOC, LLC
3185 AZALEA DRIVE
NORTH CHARLESTON, SC29405
 Phone: 843-388-9990
 Fax: 843-388-0349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for PALMETTO SPEECH & LANGUAGE ASSOC, LLC

NPI Number 1184870206
LBN Legal business name PALMETTO SPEECH & LANGUAGE ASSOC, LLC
Authorized official GENA RANDOLPH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2008
Last updated 08/08/2008 - About 18 years ago
Identifiers
SC License # 3120
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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