Fonda Dodd, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2365 Issued in SC

Practice address

4390 Belle Oaks Dr
Suite 120
North Charleston, SC 29405-8559

Phone

(843) 571-2700

NPI assigned

May 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Magnolia Medical Group Inc

  • Physical Therapist
  • Greenville, SC
  • NPI 1386629558

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1346416245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 PORTRUSH DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293013350",
            "telephone_number": "866-571-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 BELLE OAKS DR",
            "address_2": "SUITE 120",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294058559",
            "telephone_number": "843-571-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "FONDA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Preston Distefano Mercier, MD
• Divine Intervention Counseling Services
• Jessica Louise Dixon
• DME Plus, Inc
• Doctors Care SC, PA (Doctors Care Northwoods)
• Kenneth Arnold Dodds, M.D.
• Victoria Nicole Domenech
• Dominique a Brinkley LLC
• Richard Lanier Donnelly, RPH
• Dorchester Dental Health PC (Dolphin Dental)

• Speech-Language Pathologist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.