SOUTHERN OAKS THERAPY SERVICES LLC


Address: 1460 Pocotaligo Rd, Fairfax, SC 29827-6826
Phone: 8039436401

SOUTHERN OAKS THERAPY SERVICES LLC (NPI# 1710588942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710588942
Entity Type Organization
Organization Name SOUTHERN OAKS THERAPY SERVICES LLC
Practice Address 1460 Pocotaligo Rd
Fairfax
SC 29827-6826
Practice Telephone 8039436401
Mailing Telephone 8039436401
Enumeration Date 2020-11-04
Last Update Date 2020-11-04
Authorized Official Name KELLY F WALL (OWNER/SPEECH LANGUAGE PATHOLOGIST)
Authorized Official Telephone 8039436401
Authorized Official Credential MA, CCC-SLP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers

Office Location

Street Address 1460 POCOTALIGO RD
City FAIRFAX
State SC
Zip Code 29827-6826

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851811988 Kelly Futch Wall Speech-Language Pathologist 1460 Pocotaligo Rd, Fairfax, SC 29827-6826 2017-06-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467843078 We Care Family Resource LLC Point of Service 513 Bayshore Dr., Fairfax, SC 29827 2015-02-18
1154606440 Robert M. Haberkorn Dds Clinic/Center 1987 Allendale Fairfax Hwy., Fairfax, SC 29827 2011-10-18
1144370503 Allendale County Hospital Board Clinic/Center 1787 Allendale Fairfax Highway, Fairfax, SC 29827 2007-01-10
1336246677 Allendale County Hospital Board Skilled Nursing Facility 185 Revolutionary Trail, Fairfax, SC 29827 2006-09-20
1881646669 Shenika L. Marshall-hill Counselor 1594 Beaufort Ave. S., Fairfax, SC 29827 2006-05-17
1588623540 Rebecca Lynn Wilkes Nurse Practitioner 333 Revolutionary Trail, Fairfax, SC 29827 2006-03-20
1497745012 Robert M Haberkorn Dentist 1987 Allendale-fairfax Hwy, Fairfax, SC 29827 2005-10-25
1588815021 James Robert Mynatt Nurse Practitioner 333 Revolutionary Trail, Fairfax, SC 29827 2008-10-02
1063607646 Mol Ky General Practice 333 Revolutionary Trail, Fairfax, SC 29827 2007-09-07
1053475566 Low Country Health Care System, Inc Pharmacy 333 Revolutionary Trail, Farifax, SC 29827 2006-12-20
Find all providers in zip 29827

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780282152 Rachel Tsipora Chalom Speech-Language Pathologist 10565 Fairfax Blvd Ste 200, Fairfax, VA 22030-3104 2020-10-16
1629681861 Magnolia Educational Services Speech-Language Pathologist 4403 Dixie Hill Rd Apt 205, Fairfax, VA 22030-9061 2020-08-27
1336635713 Mary Pat Mcguire Peri Speech-Language Pathologist 9909 Laurel St, Fairfax, VA 22032-1013 2018-07-09
1538665740 Amie Lynn Russian Speech-Language Pathologist 8270 Willow Oaks Corporate Dr Ofc, Fairfax, VA 22031-4511 2018-04-05
1679078794 Katherine Willcox-bein Speech-Language Pathologist 8270 Willow Oaks Corporate Dr # 2128, Fairfax, VA 22031-4511 2018-03-29
1720580475 Brandhorst Speech Therapy Speech-Language Pathologist 562 Meadow Oak Cir, Fairfax, IA 52228-4709 2018-03-07
1427559533 Stacey Allman Speech-Language Pathologist 8270 Willow Oaks Co Dr Ste 2131, Fairfax, VA 22031-4511 2018-02-23
1801397294 Jonelle Craig Shipley Speech-Language Pathologist 8270 Willow Oaks Corporate Dr Ste 2129, Fairfax, VA 22031-4511 2018-02-22
1154822682 Kristy Cannon Speech-Language Pathologist 8270 Willow Oaks Co Dr Ste 2129, Fairfax, VA 22031-4511 2018-02-21
1710487343 Nicole Mariah Dobson Speech-Language Pathologist 9524 Old Creek Dr, Fairfax, VA 22032-1238 2018-02-20
Find all providers in FAIRFAX

Competitor

Search similar providers

City FAIRFAX
Zip Code 29827

Improve Information

Please comment or provide details below to improve the information on SOUTHERN OAKS THERAPY SERVICES LLC.

Dataset Information

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.

Trending Searches