Nichole Montgomery Hunt, MSP,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Fountain Inn, SC
NPI 1780790519 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780790519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2767 (SC)
- Practice address
- 103 Trident Maple CT
Fountain Inn, SC 29644-2132 - Phone
- (864) 409-8671
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2767 | SC | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2767 | SC | Yes |
Addresses
Primary practice location
103 Trident Maple CT
Fountain Inn, SC 29644-2132
Mailing address
103 Trident Maple CT
Fountain Inn, SC 29644-2132
Phone (864) 409-8671
Other providers in Fountain Inn, SC
- Travis Heaton
- Robert Michael Hellams
- Jennifer R Hess
- Adam Higgs
- Imani Khya Hunt
- Christopher Scott Hutto
- Minh Huynh-Duc
- Infinitely More Counseling, LLC
- Caitlyn Johnson
- Kimberly Johnson
All providers in Fountain Inn, SC · Speech-Language Pathologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.