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NPI Code Detail

MEDICARE: MRS. LINDSAY W DEW

MEDICARE: MRS. LINDSAY W DEW
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 Pathologist4487SC

General Provider Information

NPI Number : 1962728782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSAY W DEW
Provider Business Mailing Address
First Line : PO BOX 1753
Second Line :
City : MT PLEASANT
State : SC
Zip : 29465-1753
Country : US
Telephone Number : 843-216-0290
Fax Number : 843-216-2445
Provider Business Practice Location Address
First Line : 1127 QUEENSBOROUGH BLVD
Second Line : SUITE 104
City : MT PLEASANT
State : SC
Zip : 29464-5431
Country : US
Telephone Number : 843-216-0290
Fax Number : 843-216-2445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2010
Last Update Date : 04/19/2010

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Directions to “ MRS. LINDSAY W DEW ” Practice Location

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