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NPI Code Detail

MEDICARE: ANDREA HOPE SPEECH PATHOLOGY LLC

MEDICARE: ANDREA HOPE SPEECH PATHOLOGY 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 Pathologist333SC

General Provider Information

NPI Number : 1942568829
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDREA HOPE SPEECH PATHOLOGY LLC
Provider Business Mailing Address
First Line : 1147 EBENEZER RD
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-2355
Country : US
Telephone Number : 803-230-1529
Fax Number : 803-985-4134
Provider Business Practice Location Address
First Line : 1147 EBENEZER RD
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-2355
Country : US
Telephone Number : 803-230-1529
Fax Number : 803-985-4134
Authorized Official
Title or Position : OWNER
Name : MRS. ANDREA W HOPE
Credential : MSP, CCC, SLP
Telephone Number : 803-230-1529
Provider Enumeration Date : 04/27/2012
Last Update Date : 04/27/2012

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Directions to “ANDREA HOPE SPEECH PATHOLOGY LLC ” Practice Location

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