Angelina Pavlich, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

8703 Highway 17 Byp S # 1
Myrtle Beach, SC 29575-7701

Phone

(843) 457-1053

NPI assigned

Jun 7, 2020

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)

Not enrolled

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1508480369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FORGE HILL PL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773814308",
            "telephone_number": "832-421-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 HIGHWAY 17 BYP S # 1",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295757701",
            "telephone_number": "843-457-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLICH",
        "first_name": "ANGELINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-07",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suraj Patel, DO
• Patriotmed of Kansas, P.a.
• Amanda Catharine Patterson
• Ryan Cole Patterson Jr., DO
• Vijay Paudel, MD
• Enea Pavliqoti, DDS
• Tricia Payne, LISW-CP
• Kyle Lee Pazzo, MD
• Ian Peace
• Brenden Pearce, DO

• Speech-Language Pathologist in Myrtle Beach, SC
• Providers in Myrtle Beach, 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 Jun 7, 2020; 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.