Alexandria Annunziata, CCC-SLP

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

NPI 1649819210 · NPPES record last updated Dec 31, 2019

Key facts

NPI
1649819210
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
6664 (SC)
Practice address
3851 Commercial Center Dr
Ladson, SC 29456-4146
Phone
(843) 314-5434
NPI assigned
Dec 31, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Therapy, LLC Speech-Language Pathologist Past
since Jan 5, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6664 SC Yes

Addresses

Primary practice location

3851 Commercial Center Dr
Ladson, SC 29456-4146

Mailing address

3851 Commercial Center Dr
Ladson, SC 29456-4146
Phone (843) 314-5434

Other providers in Ladson, SC

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

Sources for this page

Verify at the official NPI Registry.