Organization Active NPI

Speech Connection of Florence, LLC

  • Speech-Language Pathologist
  • Bennettsville, SC
National Provider Identifier
1104193952
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH CONNECTION OF FLORENCE, LLC
Practice address
603 Broad St
Suite 2
Bennettsville, SC 29512-4072
Phone
(843) 319-0560
Fax
(843) 407-4804
NPI assigned
Nov 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victoria McClain, MCD/CCCNPI 1902828452
Title
Speech Language Pathologist
Phone
(843) 319-0560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

603 Broad St
Suite 2
Bennettsville, SC 29512-4072

Mailing address

417 Pilchard CT
Florence, SC 29505-5268
Phone (843) 319-0560

Other identifiers 1

IdentifierTypeStateIssuer
SA0701MedicaidSC

National Provider Directory

National Provider Directory

Locations

603 Broad St
Ste 2
Bennettsville, SC 29512
Phone (843) 319-0560

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1104193952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 PILCHARD CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295055268",
            "telephone_number": "843-319-0560",
            "fax_number": "843-407-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 BROAD ST",
            "address_2": "SUITE 2",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295124072",
            "telephone_number": "843-319-0560",
            "fax_number": "843-407-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH CONNECTION OF FLORENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "843-319-0560",
        "authorized_official_credential": "MCD/CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0701",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennettsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.