Doctor Name: | MR. TODD JAMES VAN GIESEN |
NPI Number: | 1356568703 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP |
License Number: | 2823 |
Business Practice Address: | 1941 Savage Rd Suite 400c Charleston, SC - 294074704 |
Business Phone Number: | 8435712700 |
Business Fax Number: | 8435712124 |
Mailing Address: | 427 Glensprings Dr, FLETCHER |
State: | NC |
Postal Code: | 287329269 |
Phone Number: | 8286842735 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2823 |
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 |