Healthcare Provider Details

I. General information

NPI: 1043794498
Provider Name (Legal Business Name): CHATTERBUGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 09/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 RUTH VISTA RD
LEXINGTON SC
29073-8628
US

IV. Provider business mailing address

PO BOX 37782
ROCK HILL SC
29732-0530
US

V. Phone/Fax

Practice location:
  • Phone: 888-886-9552
  • Fax:
Mailing address:
  • Phone: 803-634-1868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. HILARY R FRANK
Title or Position: SLP
Credential: MA CCC
Phone: 803-634-1868