Healthcare Provider Details

I. General information

NPI: 1528010691
Provider Name (Legal Business Name): CHESTERFIELD COUNTY SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 WEST BLVD
CHESTERFIELD SC
29709-1534
US

IV. Provider business mailing address

401 WEST BLVD
CHESTERFIELD SC
29709-1534
US

V. Phone/Fax

Practice location:
  • Phone: 843-623-5500
  • Fax: 843-623-3434
Mailing address:
  • Phone: 843-623-5500
  • Fax: 843-623-3434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN ROGERS
Title or Position: EXCEPTIONAL EDUCATION DIRECTOR
Credential:
Phone: 843-623-5541