Doctor Name: | CHARLITA D LATTIMORE |
NPI Number: | 1982637427 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3406 |
Business Practice Address: | 257 N Hamlet Ct Moore, SC - 293698964 |
Business Phone Number: | 8646762285 |
Business Fax Number: | 6788402112 |
Mailing Address: | Po Box 369, SIMPSONVILLE |
State: | SC |
Postal Code: | 296810369 |
Phone Number: | 8642014301 |
Fax Number: | 6788402112 |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3406 |
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 |