Stephen Calderalo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.7299 Issued in SC

Practice address

9012 Brantley CT
Indian Land, SC 29707-6069

Phone

(561) 859-3240

NPI assigned

Mar 6, 2024

Last updated

Mar 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1922865831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9012 BRANTLEY CT",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076069",
            "telephone_number": "561-859-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9012 BRANTLEY CT",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076069",
            "telephone_number": "561-859-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERALO",
        "first_name": "STEPHEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "SLP.7299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacie A Breault, OD
• Kerry Patterson Briones, MD
• Kimberly Hrobak Bumgardner, OTR/L
• George Archibald Butler, MD
• Colleen Marie Caffrey-Thrasher, LAC. DIPLAC, MAC
• Calloway Primary Care & Wellness LLC
• Cassandra Nicole Calloway, FNP
• Orville Lee Campbell, PA-C
• James Matthew Candon III, D.D.S
• Kerri Carder, M.S. CCC-SLP

• Speech-Language Pathologist in Indian Land, SC
• Providers in Indian Land, 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 Mar 6, 2024; 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.