Doctor Name: | SALLIE P WADFORD |
NPI Number: | 1649457573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD |
License Number: | 3620 |
Business Practice Address: | 802 Country Club Rd Andrews, SC - 295105144 |
Business Phone Number: | 8432217433 |
Business Fax Number: | |
Mailing Address: | 802 Country Club Rd, ANDREWS |
State: | SC |
Postal Code: | 295105144 |
Phone Number: | 8432217433 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2008 |
NPI Last Update Date: | 01/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3620 |
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 |