=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497373609
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMMA CLAIRE CONOVER MS, CCC-SLP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/14/2020
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4105 FABER PLACE DR STE 420
-----------------------------------------------------
City | CHARLESTON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29405-8594
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-894-7374
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 209 JAMES JACKSON DR
-----------------------------------------------------
City | FOUNTAIN INN
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29644-6178
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 864-704-4405
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 7715
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------