UPSTATE PEDIATRIC SPEECH THERAPY SERVICES, INC. (NPI# 1952693723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952693723 |
| Entity Type | Organization |
| Organization Name | UPSTATE PEDIATRIC SPEECH THERAPY SERVICES, INC. |
| Other Organization Name | UPSTATE PEDIATRIC SPEECH THERAPY SERVICES |
| Practice Address |
310 New Neely Ferry Rd Mauldin SC 29662-2617 |
| Practice Telephone | 8644380990 |
| Practice Fax Number | 8644788383 |
| Mailing Telephone | 8644380990 |
| Mailing Fax Number | 8644788383 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | DR. SHANNON L . WILLIAMSON (SLP/PRESIDENT/OWNER) |
| Authorized Official Telephone | 8644380990 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2385 | SC | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Upstate Pediatric Speech Therapy Services | Doing Business As Name - Organization |
| Street Address |
310 NEW NEELY FERRY RD |
| City | MAULDIN |
| State | SC |
| Zip Code | 29662-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862399 | Connie Painter | Behavior Technician | 103 Miller Rd, Mauldin, SC 29662 | 2017-03-20 |
| 1073061610 | Lisa Rist | Counselor | 400 South Main St Suite C, Mauldin, SC 29662 | 2016-09-12 |
| 1285181347 | Jennifer Wise | Specialist/Technologist | 310 Neely Ferry Road, Mauldin, SC 29662 | 2016-09-07 |
| 1467908236 | Maan Aziz Kerzzo | Pharmacist | 129 West Butler Road, Mauldin, SC 29662 | 2016-08-31 |
| 1083011357 | Southeast Transportation Services LLC | Non-emergency Medical Transport (VAN) | 411 N. Main St., Mauldin, SC 29662 | 2014-12-02 |
| 1174926471 | Holly Christine Waite | Chiropractor | 785 E Butler Rd, Ste D, Mauldin, SC 29662 | 2014-09-30 |
| 1194138701 | Vanessa Vance-logan | Case Manager/Care Coordinator | 400 West Butler Road; Suite B-1, Mauldin, SC 29662 | 2014-06-11 |
| 1265771984 | Connie Mae Lenagh | Nurse Practitioner | 924 E. Butler Rd, Mauldin, SC 29662 | 2013-02-01 |
| 1679823918 | Linda W Gerhart | Pharmacist | 224 East Butler Rd, Mauldin, SC 29662 | 2012-09-13 |
| 1114277894 | David Merz Banks | Pharmacist | 315 West Butler Rd, Mauldin, SC 29662 | 2012-09-11 |
| Find all providers in zip 29662 | ||||
| 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 |
|---|---|---|---|---|
| 1093108011 | Jennifer Byrne | Speech-Language Pathologist | 500 Fieldgate Ct, Mauldin, SC 29662-3308 | 2015-03-16 |
| 1407272057 | Laura Black | Speech-Language Pathologist | 1230 Alexander St, Mauldin, SC 29662-2413 | 2014-03-06 |
| 1649356007 | Kathryn Stevenson Mahaffey | Speech-Language Pathologist | 504 Brooks Rd, Mauldin, SC 29662-2747 | 2006-10-28 |
| 1942235197 | Teresa Ann Moulaie-birgani | Speech-Language Pathologist | 106 Sunset Dr, Mauldin, SC 29662-2518 | 2006-07-12 |
| 1386692705 | Laura M Maganini | Speech-Language Pathologist | 3 Winchester Ct, Mauldin, SC 29662-2626 | 2006-05-05 |
| 1578915732 | Esboniquia Hamilton | Speech-Language Pathologist | 104 Renaissance Cir, Mauldin, SC 29662-2455 | 2016-07-11 |
| 1568822591 | Carrie Crawford | Speech-Language Pathologist | 3 Winchester Ct, Mauldin, SC 29662-2626 | 2016-03-03 |
| 1558727016 | Elizabeth Christina Muir | Speech-Language Pathologist | 3 Winchester Ct, Mauldin, SC 29662-2626 | 2016-01-13 |
| 1619347275 | Rebekah Dianne Degarmo White | Speech-Language Pathologist | 1230 Alexander St, Mauldin, SC 29662-2413 | 2015-09-25 |
| 1750768354 | Rita Cleveland | Speech-Language Pathologist | 3 Winchester Ct, Mauldin, SC 29662-2626 | 2015-05-03 |
| Find all providers in MAULDIN | ||||
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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.