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NPI Code Detail

MEDICARE: CAROLINA CADENCE SPEECH THERAPY LLC

MEDICARE: CAROLINA CADENCE SPEECH THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1376309732
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAROLINA CADENCE SPEECH THERAPY LLC
Provider Business Mailing Address
First Line : 2203 MARION ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-1917
Country : US
Telephone Number : 843-593-7625
Fax Number :
Provider Business Practice Location Address
First Line : 2203 MARION ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-1917
Country : US
Telephone Number : 843-593-7625
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CORY R DAUBER
Credential : M.S. CCC-SLP
Telephone Number : 843-593-7625
Provider Enumeration Date : 02/23/2024
Last Update Date : 02/23/2024

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Directions to “CAROLINA CADENCE SPEECH THERAPY LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.