Doctor Name: | WENDY YATES |
NPI Number: | 1326423195 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 2715 |
Business Practice Address: | 4761 Highway 501 Suite 1 Myrtle Beach, SC - 295799457 |
Business Phone Number: | 8434557505 |
Business Fax Number: | |
Mailing Address: | Po Box 1523, LITTLE RIVER |
State: | SC |
Postal Code: | 295661523 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/22/2015 |
NPI Last Update Date: | 07/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2715 |
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 |