Doctor Name: | MRS. PATRICIA DUBOSE CHASTAIN |
NPI Number: | 1881028025 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. SLP/CCC |
License Number: | 2349 |
Business Practice Address: | 1400 Griffin Mill Rd Easley, SC - 296406929 |
Business Phone Number: | 8643971048 |
Business Fax Number: | 8648558159 |
Mailing Address: | 1400 Griffin Mill Rd, EASLEY |
State: | SC |
Postal Code: | 296406929 |
Phone Number: | 8643971048 |
Fax Number: | 8648558159 |
NPI Enumeration Date: | 08/23/2013 |
NPI Last Update Date: | 09/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2349 |
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 |