Healthcare Provider Details

I. General information

NPI: 1376054908
Provider Name (Legal Business Name): CAROLINA SPEECH AND HEARING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2017
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3681 LEAPHART RD STE A
WEST COLUMBIA SC
29169-3068
US

IV. Provider business mailing address

3681 LEAPHART RD STE A
WEST COLUMBIA SC
29169-3068
US

V. Phone/Fax

Practice location:
  • Phone: 803-900-4890
  • Fax: 803-931-3891
Mailing address:
  • Phone: 803-900-4890
  • Fax: 803-931-3891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number4066
License Number StateSC

VIII. Authorized Official

Name: DR. MICHELE SCHULTZ
Title or Position: PRESIDENT/AUDIOLOGIST
Credential: AU.D
Phone: 803-900-4890