Doctor Name: | MRS. MARY HOLSTEIN WHITE |
NPI Number: | 1497828206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M ED CCC SLP |
License Number: | 220 |
Business Practice Address: | 208 Mason Croft Drive Sumter, SC - 29150 |
Business Phone Number: | 8037731893 |
Business Fax Number: | |
Mailing Address: | 208 Mason Croft Drive, SUMTER |
State: | SC |
Postal Code: | 29150 |
Phone Number: | 8037731893 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 220 |
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 |