Katie Ledford Rodriguez
Individual provider Active NPI Speech-Language Pathologist · Edgemoor, SC
NPI 1083395396 · NPPES record last updated Jul 28, 2023
Key facts
- NPI
- 1083395396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7405 (SC)
- Practice address
- 507 Patriot LN
Edgemoor, SC 29712-8704 - Phone
- (803) 367-6109
- NPI assigned
- Jul 28, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 7405 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Speech and Swallowing Therapy, LLC | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7405 | SC | Yes |
Addresses
Primary practice location
507 Patriot LN
Edgemoor, SC 29712-8704
Mailing address
3310 Brushy Mountain St
Cary, NC 27519-7234
Phone (803) 493-7917
Other providers in Edgemoor, SC
- 4Ms and 4Him Corp
- Arron Pinkney
- Reset Community Wellness & Reentry Services, LLC
- Eileen Nicole Silva Rayo
- The Reset Place
All providers in Edgemoor, 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 Jul 28, 2023. 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.