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NPI Code Detail

MEDICARE: CAROL CROSBY CCC-SLP

MEDICARE: CAROL CROSBY 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 Pathologist3899SC

General Provider Information

NPI Number : 1922278993
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL CROSBY CCC-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 : 03/06/2008
Last Update Date : 03/06/2008

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Directions to “ CAROL CROSBY CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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