Carrie S Anderson

Individual provider Active NPI Speech-Language Pathologist · Clemson, SC

NPI 1477082055 · NPPES record last updated Feb 5, 2019

Key facts

NPI
1477082055
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4575 (SC)
Practice address
101 Chapman Hill Rd
Clemson, SC 29631-2194
Phone
(864) 653-4071
Fax
(864) 653-4074
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4575SCMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4575 SC Yes

Addresses

Primary practice location

101 Chapman Hill Rd
Clemson, SC 29631-2194

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536

Other providers in Clemson, SC

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

Sources for this page

Verify at the official NPI Registry.