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NPI Code Detail

MEDICARE: SUSAN SMITH KAUFMAN SLP

MEDICARE: SUSAN SMITH KAUFMAN 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 Pathologist2864SC

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 : 1760529614
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN SMITH KAUFMAN SLP
Provider Business Mailing Address
First Line : 105 FOX HILL DR
Second Line :
City : BLYTHEWOOD
State : SC
Zip : 29016-8741
Country : US
Telephone Number : 803-530-2214
Fax Number : 803-788-4715
Provider Business Practice Location Address
First Line : 105 FOX HILL DR
Second Line :
City : BLYTHEWOOD
State : SC
Zip : 29016-8741
Country : US
Telephone Number : 803-530-2214
Fax Number : 803-788-4715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/09/2007

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Directions to “ SUSAN SMITH KAUFMAN SLP” Practice Location

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