NPI 1225503071 · live from the CMS NPI Registry
Maureen Booth
Speech-Language Pathologist, in North Charleston, SC. National Provider Identifier 1225503071, active.
NPI record
| NPI | 1225503071 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 3107 Meeting Street Rd, North Charleston, SC 29405 |
| Practice phone | 843-654-7464 |
| Mailing address | 1136 Cultivator St, Mount Pleasant, SC 29466 |
| Enumerated | October 8, 2018 |
| Last updated | September 23, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Speech-Language Pathologist, primary | 235Z00000X | 5635 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.