MRS. DALZELL GINN MCDILDA (NPI# 1649412123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649412123 |
Entity Type | Individual |
Full Name | MRS. DALZELL GINN MCDILDA |
Credential | M.ED.CCC-SLP |
Practice Address |
606 Black River Rd Georgetown SC 29440-3304 |
Practice Telephone | 8436511938 |
Practice Fax Number | 8436513669 |
Mailing Telephone | 8436511938 |
Mailing Fax Number | 8436513669 |
Enumeration Date | 2009-03-31 |
Last Update Date | 2009-03-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 2238 | SC | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | SPEECH-LANGUAGE PATHOLOGIST LICENSE | 2238 | 01 |
Street Address |
606 BLACK RIVER RD |
City | GEORGETOWN |
State | SC |
Zip Code | 29440-3304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952301731 | Mary L Michael | Nurse Anesthetist, Certified Registered | 606 Black River Rd, Georgetown, SC 29440-3304 | 2005-07-22 |
1518489814 | Pauline A Seebode | Nurse Practitioner | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-07-09 |
1588191134 | Michael Patrick Stribos | Emergency Medicine | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-05-15 |
1104365857 | Kristen Miller | Nurse Anesthetist, Certified Registered | 606 Black River Rd, Georgetown, SC 29440-3304 | 2017-02-14 |
1083096192 | Adam Christopher Hughes | Internal Medicine | 606 Black River Rd, Georgetown, SC 29440 | 2015-06-25 |
1619364031 | Agnes Edwards | Social Worker | 606 Black River Rd, Georgetown, SC 29440 | 2015-04-23 |
1700293081 | Christopher Devault | Specialist/Technologist | 606 Black River Rd, Georgetown, SC 29440-3304 | 2014-07-17 |
1790070415 | Lananh Nguyen | Internal Medicine | 606 Black River Rd, Georgetown, SC 29440-3304 | 2011-06-10 |
1255634069 | Family Pharmacy At Gmh | Pharmacy | 606 Black River Rd, Georgetown, SC 29440-3304 | 2010-12-16 |
1699903898 | Matthew Bernstein | Pathology | 606 Black River Rd, Georgetown, SC 29440-3304 | 2009-06-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
Find all providers in zip 29440 |
Taxonomy Code | 235Z00000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Speech-Language Pathologist |
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508483629 | Katelyn Flynt Slone | Speech-Language Pathologist | 115 N Water St Ste 2, Georgetown, KY 40324-1334 | 2020-07-06 |
1487279188 | Jessica Theresa Loera | Speech-Language Pathologist | 417 Windom Way, Georgetown, TX 78626-2390 | 2020-06-09 |
1366066722 | Rebecca Mary Halley | Speech-Language Pathologist | 285 Se Inner Loop Ste 108, Georgetown, TX 78626-2139 | 2020-06-02 |
1093355307 | Lucinda Clay Middaugh | Speech-Language Pathologist | 105 Prater Dr, Georgetown, KY 40324-8663 | 2020-01-14 |
1306327937 | Andi Tucker Miller | Speech-Language Pathologist | 221 Bluestem Dr, Georgetown, TX 78633-5491 | 2018-08-22 |
1306324124 | Suparna Chakraborti | Speech-Language Pathologist | 603 Lakeway Dr, Georgetown, TX 78628-2843 | 2018-08-02 |
1861922544 | Valerie Paige Blakely | Speech-Language Pathologist | 1837 N Fraser St, Georgetown, SC 29440-7758 | 2017-06-15 |
1164953592 | Rachael Beebe Henry | Speech-Language Pathologist | 327 Meeting St, Georgetown, SC 29440-3749 | 2017-03-27 |
1811351018 | Bethany Dean | Speech-Language Pathologist | 911 Madrone Dr, Georgetown, TX 78628-4010 | 2016-04-13 |
1699137323 | Patsy Wilson | Speech-Language Pathologist | 702 S Hamilton St, Georgetown, KY 40324-1504 | 2016-03-22 |
Find all providers in GEORGETOWN |
City | GEORGETOWN |
Zip Code | 29440 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.