Angie Travers, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4978 Issued in SC

Practice address

311 Mallard CT
Mt Pleasant, SC 29464-2830

Phone

(843) 606-0631

Fax

(843) 416-8315

NPI assigned

Dec 7, 2011

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

Credentials

Master of Science

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.

• Mount Pleasant Speech and Language, LLC

  • Speech-Language Pathologist
  • Mt Pleasant, SC
  • NPI 1821430224
  NPD (past) Authorized official
• Palmetto Speech & Language Assoc, LLC

  • Speech-Language Pathologist
  • North Charleston, SC
  • NPI 1184870206
  NPD (past)

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1902174733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MALLARD CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MALLARD CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642830",
            "telephone_number": "843-606-0631",
            "fax_number": "843-416-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERS",
        "first_name": "ANGIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cara Robbins Traub, M.ED., MSR
• William P. Trebing, D.C.
• Lara Trevett, PT, DPT, PCS
• Tri-County Early Intervention LLC
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• Speech-Language Pathologist in Mt Pleasant, SC
• Providers in Mt Pleasant, 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 Sep 25, 2013; 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.