Healthcare Provider Details

I. General information

NPI: 1184533176
Provider Name (Legal Business Name): ALEXANDER MICHAEL BARRETT MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25136 HIGHWAY 76 E
CLINTON SC
29325-4982
US

IV. Provider business mailing address

25136 HIGHWAY 76 E
CLINTON SC
29325-4982
US

V. Phone/Fax

Practice location:
  • Phone: 864-358-0121
  • Fax:
Mailing address:
  • Phone: 864-358-0121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9891
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: