MEDICARE: MRS. EMILY S BOWMAN 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
1	235Z00000X	Speech-Language Pathologist	997	SC

General Provider Information

NPI Number	:	1184748550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY S BOWMAN SLP

Provider Business Mailing Address
First Line	:	2725 CASSEY ST
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29420-4201
Country	:	US
Telephone Number	:	843-553-7605
Fax Number	:	843-797-6846

Provider Business Practice Location Address
First Line	:	2725 CASSEY ST
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29420-4201
Country	:	US
Telephone Number	:	843-553-7605
Fax Number	:	843-797-6846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	12/07/2025

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