Marva B Cannion, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Kingstree, SC
NPI 1114073418 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114073418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3089 (SC)
- Practice address
- 372 Nexsen Rd
Kingstree, SC 29556-5138 - Phone
- (843) 282-8779
- NPI assigned
- Jan 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3089 | SC | Yes |
Addresses
Primary practice location
372 Nexsen Rd
Kingstree, SC 29556-5138
Mailing address
372 Nexsen Rd
Kingstree, SC 29556-5138
Other providers in Kingstree, SC
- Darrell Brown
- Natalie Brown
- Shannon Stanton Brown
- Michelle L. Butterworth
- C.a.R.E. Speech/Language Services
- Carlyle Senior Care of Kingstree,LLC
- Gary L Carney
- Carolina'S Medical Alliance
- Carolinas Medical Alliance Inc
- Caspers
All providers in Kingstree, 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 8, 2007. 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.