Doctor Name: | SHARON M WELLMON |
NPI Number: | 1134303480 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 4061 |
Business Practice Address: | 120c Springhall Dr Goose Creek, SC - 294455335 |
Business Phone Number: | 8432160290 |
Business Fax Number: | 8432162445 |
Mailing Address: | Po Box 1753, MT PLEASANT |
State: | SC |
Postal Code: | 294651753 |
Phone Number: | 8432160290 |
Fax Number: | 8432162445 |
NPI Enumeration Date: | 12/21/2007 |
NPI Last Update Date: | 05/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4061 |
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 |