Potts, Wendy B.

Potts, Wendy B. is an individual health care provider with primary practice located at 1601 Saint Julian Pl , Columbia SC 29204-2407. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Potts, Wendy B. can be contacted via phone (803) 777-2642.

Contact Information

Primary practice address
1601 Saint Julian Pl Columbia SC 29204-2407
Fax: (803) 253-4143
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 3150 South Carolina

Profile Details

NPI number 1881614808
LBN Legal business name Potts, Wendy B.
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 12th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881614808 NPPES
South Carolina MEDICAID 426521

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