Pediatric Speech Therapy Services

LBN: Pediatric Speech Therapy Services
Pediatric Speech Therapy Services is an health care organization with primary practice located at 820 Kipling Dr , Columbia SC 29205-2036. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Pediatric Speech Therapy Services can be contacted via phone (803) 315-5252, or through Williams, Marymac via phone (803) 315-5252.

Contact Information

Primary practice address
820 Kipling Dr Columbia SC 29205-2036
Phone: (803) 315-5252
Fax: (803) 787-2973
Website:
Map and Directions
Authorized official contact:
Name: Williams, Marymac MA, CCC/SLP
Phone: (803) 315-5252

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3360 South Carolina

Profile Details

NPI number 1265665335
LBN Legal business name Pediatric Speech Therapy Services
DBA Doing business as
Authorized official Williams, Marymac MA, CCC/SLP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2009
Last updated Aug 24th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265665335 NPPES
South Carolina MEDICAID SA0726

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