Doctor Name: | MRS. WOODRENA CHERISE SEGRES |
NPI Number: | 1053562512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 3627 |
Business Practice Address: | 211 Sherwood St Kingstree, SC - 295567541 |
Business Phone Number: | 8433825373 |
Business Fax Number: | 8433829246 |
Mailing Address: | 211 Sherwood St, KINGSTREE |
State: | SC |
Postal Code: | 295567541 |
Phone Number: | 8433825373 |
Fax Number: | 8433829246 |
NPI Enumeration Date: | 10/02/2008 |
NPI Last Update Date: | 02/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |