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NPI Code Detail

MEDICARE: MRS. ELIZABETH PRESSLEY STOKES MSR, CCC-SLP

MEDICARE: MRS. ELIZABETH PRESSLEY STOKES MSR, 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 Pathologist3672SC

General Provider Information

NPI Number : 1770752214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH PRESSLEY STOKES MSR, CCC-SLP
Provider Business Mailing Address
First Line : 3222 LAKEWOOD AVE
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-1434
Country : US
Telephone Number : 843-412-3616
Fax Number :
Provider Business Practice Location Address
First Line : 3222 LAKEWOOD AVE
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-1434
Country : US
Telephone Number : 843-412-3616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2008
Last Update Date : 02/28/2008

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Directions to “ MRS. ELIZABETH PRESSLEY STOKES MSR, CCC-SLP” Practice Location

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