Healthcare Provider Details

I. General information

NPI: 1770499741
Provider Name (Legal Business Name): NANCY MARSTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1169 SHARPESTOWNE CT
MOUNT PLEASANT SC
29466-7564
US

IV. Provider business mailing address

PO BOX 2467
MOUNT PLEASANT SC
29465-2467
US

V. Phone/Fax

Practice location:
  • Phone: 850-341-0418
  • Fax:
Mailing address:
  • Phone: 850-341-3617
  • Fax:

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:
Title or Position:
Credential:
Phone: