S.c. State University
NPI #1033288402 in Orangeburg, South Carolina
Provider Information
- NPI Number
- 1033288402
- Entity Type
- Organization
- Organization Name
- S.c. State University
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Jun 18, 2008
Practice Location
- Address
- 300 COLLEGE STREET, NE
- Address 2
- 300 COLLEG STREET, NE
- City
- Orangeburg
- State
- South Carolina
- ZIP Code
- 29117-0001
- Phone
- (803) 536-8073
Authorized Official
- Name
- DR. GWENDOLYN D. WILSON
- Title
- DEPARTMENT CHAIR
- Phone
- (803) 536-7063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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