Desiree D Mutcherson, MS,CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5292 Issued in SC

Practice address

200 Keats Dr
221
Spartanburg, SC 29301-4956

Phone

(813) 545-3042

NPI assigned

Sep 2, 2006

Last updated

Aug 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1962504662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310647",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336800647",
            "telephone_number": "813-545-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KEATS DR",
            "address_2": "221",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293014956",
            "telephone_number": "813-545-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTCHERSON",
        "first_name": "DESIREE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "MS,CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5247",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5292",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP-1568",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681570796",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888523100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Lynn Murrell, PT
• Daniel James Murtaugh, DPT
• Natia Murvelashvili
• Andrea Michelle Muschette Seerattan, MSC
• Margaret J Musick
• Travis Michael Muthig, M.D.
• My Hearing Centers Holding Inc. (Elite Hearing Centers of America)
• Ashlyn Kate Myers, ATC
• Jacqueline C. Myers, ANP-BC
• Darlene Marie Myles, DO

• Speech-Language Pathologist in Spartanburg, SC
• Providers in Spartanburg, 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 2, 2016; 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.