Janice Acquisto
Individual provider Active NPI Speech-Language Pathologist · Chapin, SC
NPI 1003259730 · NPPES record last updated Apr 11, 2013
Key facts
- NPI
- 1003259730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3808 (SC)
- Practice address
- 1531 Three Dog Rd
Chapin, SC 29036-7621 - Phone
- (803) 476-4600
- NPI assigned
- Apr 11, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3808 | SC | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3808 | SC | Yes |
Addresses
Primary practice location
1531 Three Dog Rd
Chapin, SC 29036-7621
Mailing address
1531 Three Dog Rd
Chapin, SC 29036-7621
Phone (803) 476-4600
Other providers in Chapin, SC
All providers in Chapin, SC · Speech-Language Pathologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.