| Doctor Name: | MRS. MARY PATRICE STROM |
| NPI Number: | 1306080015 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC, SLP |
| License Number: | 4495 |
| Business Practice Address: | 9225 University Blvd Ste E2c North Charleston, SC - 294069149 |
| Business Phone Number: | 8435694546 |
| Business Fax Number: | 8435694535 |
| Mailing Address: | 9225 University Blvd, Ste E2c NORTH CHARLESTON |
| State: | SC |
| Postal Code: | 294069149 |
| Phone Number: | 8435694546 |
| Fax Number: | 8435694535 |
| NPI Enumeration Date: | 04/24/2009 |
| NPI Last Update Date: | 06/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 4495 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| 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 |