Healthcare Provider Details

I. General information

NPI: 1982033304
Provider Name (Legal Business Name): KARI SKOGLUND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARI SUTULIC

II. Dates (important events)

Enumeration Date: 11/06/2013
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 GREAT NORTH RD
COLUMBIA SC
29223-5180
US

IV. Provider business mailing address

419 GREAT NORTH RD
COLUMBIA SC
29223-5180
US

V. Phone/Fax

Practice location:
  • Phone: 803-467-5972
  • Fax:
Mailing address:
  • Phone: 803-467-5972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number108639
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number19495
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: