Healthcare Provider Details

I. General information

NPI: 1982139952
Provider Name (Legal Business Name): COMPASS SPEECH THERAPY LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2017
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 MEDFORD ST
SUMMERVILLE SC
29486-0426
US

IV. Provider business mailing address

155 MEDFORD ST
SUMMERVILLE SC
29486-0426
US

V. Phone/Fax

Practice location:
  • Phone: 843-212-6813
  • Fax:
Mailing address:
  • Phone: 843-212-6813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41YS00670800
License Number StateNJ

VIII. Authorized Official

Name: MRS. LINDSAY BACH SMITH
Title or Position: OWNER, SPEECH-LANGUAGE PATHOLOGIST
Credential: M.S., CCC-SLP
Phone: 843-212-6813