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NPI Code Detail

MEDICARE: ELIZABETH MCDONALD MSP, CCC-SLP

MEDICARE:   ELIZABETH  MCDONALD  MSP, 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 Pathologist6688SC

General Provider Information

NPI Number : 1235013764
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MCDONALD MSP, CCC-SLP
Provider Business Mailing Address
First Line : 573 MARSHGRASS BLVD
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-2647
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 573 MARSHGRASS BLVD
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-2647
Country : US
Telephone Number : 843-200-4861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2025
Last Update Date : 08/05/2025

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Directions to “ ELIZABETH MCDONALD MSP, CCC-SLP” Practice Location

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