Early Intervention Upstate Inc.
NPI #1194414847 in Spartanburg, South Carolina
Provider Information
- NPI Number
- 1194414847
- Entity Type
- Organization
- Organization Name
- Early Intervention Upstate Inc.
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- May 8, 2023
- Last Updated
- May 8, 2023
Practice Location
- Address
- 1400 BOILING SPEINGS RD SUITE 10
- City
- Spartanburg
- State
- South Carolina
- ZIP Code
- 29303
- Phone
- (864) 909-5260
Authorized Official
- Name
- DR. TRACY RYAN BISHOP, EDD
- Title
- PRESIDENT
- Phone
- (864) 909-5260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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| MR. Clifford Boyd III |
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