Active NPI
Speech Connection of Florence, LLC
- Speech-Language Pathologist
- Bennettsville, SC
National Provider Identifier
1104193952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victoria McClain, MCD/CCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0701 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Speech-Language Pathologist
- Florence, SC
- NPI 1902828452
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
- South Carolina Department of Juvenile Justice
- South Carolina Dept of Mental Health Accounting Office
- Southern Creative Care
- Southern Emergency Physicians LLP
- Andria Marshale Sowells, MA, NCC, LPC
- Felecia Renee Stanton, LPC-A
- State of South Carolina
- Amanda H. Steen, LPN
- Judie M Sto Domingo
- Raymond H Stroup, DC
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.