Provider Demographics
NPI:1447553383
Name:PALMETTO SPEECH AND LANGUAGE SERVICES
Entity type:Organization
Organization Name:PALMETTO SPEECH AND LANGUAGE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC SLP
Authorized Official - Phone:912-562-7092
Mailing Address - Street 1:577 BELLINGER HILL RUN
Mailing Address - Street 2:
Mailing Address - City:HARDEEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29927-9217
Mailing Address - Country:US
Mailing Address - Phone:912-562-7092
Mailing Address - Fax:912-562-7095
Practice Address - Street 1:577 BELLINGER HILL RUN
Practice Address - Street 2:
Practice Address - City:HARDEEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29927-9217
Practice Address - Country:US
Practice Address - Phone:912-562-7092
Practice Address - Fax:912-562-7095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty