Carolina Speech Connection, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3966 Issued in SC

Legal business name

CAROLINA SPEECH CONNECTION, LLC

Practice address

9789 Charlotte Hwy
Suite 400, Box #249
Fort Mill, SC 29715-7177

Phone

(803) 389-1175

Fax

(803) 547-2115

NPI assigned

Jul 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Susan Margaret Steffan, M.S.,CCC/SLP

Title

Speech-Langauge Pathologist

Phone

(803) 389-1175

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902830177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9789 CHARLOTTE HWY",
            "address_2": "SUITE 400, BOX #249",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157177",
            "telephone_number": "803-389-1175",
            "fax_number": "803-547-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9789 CHARLOTTE HWY",
            "address_2": "SUITE 400, BOX #249",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157177",
            "telephone_number": "803-389-1175",
            "fax_number": "803-547-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPEECH CONNECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEFFAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "SPEECH-LANGAUGE PATHOLOGIST",
        "authorized_official_telephone_number": "803-389-1175",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.,CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0719",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Fort Mill, SC
• Providers in Fort Mill, 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 Aug 22, 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.