Healthcare Provider Details

I. General information

NPI: 1497614713
Provider Name (Legal Business Name): SILVER STANDARD SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629B JUDAH ST
MYRTLE BEACH SC
29579-9103
US

IV. Provider business mailing address

629B JUDAH ST
MYRTLE BEACH SC
29579-9103
US

V. Phone/Fax

Practice location:
  • Phone: 843-284-3753
  • Fax: 803-626-1410
Mailing address:
  • Phone: 843-284-3753
  • Fax: 803-626-1410

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: STERLING DRIGGERS
Title or Position: OWNER/SPEECH LANGUAGE PATHOLOGIST
Credential: SLP
Phone: 843-284-3753