Provider Demographics
NPI:1447942941
Name:MERCADO, FRANYERIS (MS CCC-CFY)
Entity type:Individual
Prefix:
First Name:FRANYERIS
Middle Name:
Last Name:MERCADO
Suffix:
Gender:F
Credentials:MS CCC-CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 WESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-8734
Mailing Address - Country:US
Mailing Address - Phone:803-428-7500
Mailing Address - Fax:843-799-4784
Practice Address - Street 1:2213 W PALMETTO ST UNIT D
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3909
Practice Address - Country:US
Practice Address - Phone:843-799-4701
Practice Address - Fax:843-799-4784
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8357235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist