Shooting Star Speech Therapy LLC
NPI #1578329520 in Charleston, South Carolina
Provider Information
- NPI Number
- 1578329520
- Entity Type
- Organization
- Organization Name
- Shooting Star Speech Therapy LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Feb 27, 2024
- Last Updated
- Feb 27, 2024
Practice Location
- Address
- 33 PERCY ST APT B
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29403-5957
- Phone
- (954) 592-5478
Authorized Official
- Name
- SHANNON BLACKSTONE, MS, CCC-SLP
- Title
- SPEECH-LANGUAGE PATHOLOGIST, OWNER
- Phone
- (954) 592-5478
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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