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NPI Code Detail

MEDICARE: PAMELA JILL SHULER CCC-SLP

MEDICARE: PAMELA JILL SHULER CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist3557SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073537932
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA JILL SHULER CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 1753
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29465-1753
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1127 QUEENSBOROUGH BLVD STE 104
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-5431
Country : US
Telephone Number : 843-216-0290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 06/07/2023

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Directions to “ PAMELA JILL SHULER CCC-SLP” Practice Location

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