School District of Newberry County

Organization Active NPI Speech-Language Pathologist · Newberry, SC

NPI 1124465455 · NPPES record last updated May 28, 2013

Key facts

NPI
1124465455
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
3109 (SC)
Legal business name
SCHOOL DISTRICT OF NEWBERRY COUNTY
Practice address
1406 Boundary St
Newberry, SC 29108-3828
Phone
(803) 321-2616
Fax
(803) 321-2605
NPI assigned
May 28, 2013
Organization subpart
No

Authorized official

Name
Mrs. Jennifer McCullough, CCC-SLP
Title
Speech-Language Pathologist
Phone
(803) 321-2616

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Newberry County School District (5 organizations share this tax ID)

Locations

1406 Boundary St
Newberry, SC 29108
Phone (803) 321-2616

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 3109 SC Yes

Addresses

Primary practice location

1406 Boundary St
Newberry, SC 29108-3828

Mailing address

376 Holly Point LN
Prosperity, SC 29127-7684

Other providers in Newberry, SC

All providers in Newberry, SC · Speech-Language Pathologist in South Carolina

Sources for this page

Verify at the official NPI Registry.