| Doctor Name: | MRS. GWENDOLYN BARTON BOZEMAN |
| NPI Number: | 1447543616 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., B.S. |
| License Number: | 4870 |
| Business Practice Address: | 410 E Butler Rd Mauldin, SC - 296623250 |
| Business Phone Number: | 8645691599 |
| Business Fax Number: | |
| Mailing Address: | 1 Hushpah Ct, SIMPSONVILLE |
| State: | SC |
| Postal Code: | 296807382 |
| Phone Number: | 8645691599 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2011 |
| NPI Last Update Date: | 05/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | 4870 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |