Charleston Autism Academy - Speech-Language Pathologist in Wando, SC

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Charleston Autism Academy is a Speech-language Pathologist based in Wando, South Carolina. Charleston Autism Academy is licensed to practice in South Carolina (license number 4491) and their current practice location is 480 Jessen Ln Ste D, Wando, South Carolina. It can be reached at their office (for appointments etc.) via phone at (843) 881-0330.

NPI number for Charleston Autism Academy is 1780961706 and their current mailing address is 480 Jessen Ln Ste D, Wando, South Carolina. Charleston Autism Academy does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1780961706.

Contact Information

Charleston Autism Academy
480 Jessen Ln Ste D,
Wando, SC 29492-7915
(843) 881-0330
(843) 405-7020

Map and Direction




Healthcare Provider's Profile

Full NameCharleston Autism Academy
TypeFacility
SpecialitySpeech-language Pathologist
Location480 Jessen Ln Ste D, Wando, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780961706
  • Provider Enumeration Date: 11/04/2011
  • Last Update Date: 11/04/2011

Medical Identifiers

Medical identifiers for Charleston Autism Academy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780961706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 3529 (South Carolina)Secondary
235Z00000XSpeech-language Pathologist 4491 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charleston Autism Academy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charleston Autism Academy
480 Jessen Ln Ste D,
Wando, SC 29492-7915

Ph: (843) 881-0330		Charleston Autism Academy
480 Jessen Ln Ste D,
Wando, SC 29492-7915

Ph: (843) 881-0330

Reviews and Comments


Speech-Language Pathologist in Wando, SC


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