| Lake Murray Speech Pathology Llc | |
|
111 Haywain Dr, Chapin, SC 29036-8204 | |
| (803) 586-1447 | |
| Not Available |
| Full Name | Lake Murray Speech Pathology Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 111 Haywain Dr, Chapin, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922732759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Jennifer Kruidenier |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356912836 PECOS PAC ID: 8123410065 Enrollment ID: I20220930000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Murray Speech Pathology Llc 111 Haywain Dr, Chapin, SC 29036-8204 Ph: (803) 586-1447 | Lake Murray Speech Pathology Llc 111 Haywain Dr, Chapin, SC 29036-8204 Ph: (803) 586-1447 |
Mrs. Janice Acquisto, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1531 Three Dog Rd, Chapin, SC 29036 Phone: 803-476-4600 | |
Monica Locascio, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 444 Crawley Ln, Chapin, SC 29036 Phone: 631-786-9756 | |
Abbi Katherine Dowell, M.S. SLP-CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 814 Amicks Ferry Rd, Chapin, SC 29036 Phone: 803-756-1100 | |
Mrs. Kimberly Mccartha Santiago, MSP, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 963 Westwoods Dr, Chapin, SC 29036 Phone: 803-345-7710 | |
Pleshette Johnson Kelly, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 128 Stoney Point Ln, Chapin, SC 29036 Phone: 520-576-6795 | |
Stacey Ailes, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 128 Stoney Point Ln, Chapin, SC 29036 Phone: 803-622-7939 Fax: 803-708-8725 | |
Colleen Bodiford, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 240 Primrose Ln, Chapin, SC 29036 Phone: 803-487-4897 |