Provider Demographics
NPI:1306568118
Name:BELL, ANYSSA (MS, CF SLP)
Entity type:Individual
Prefix:
First Name:ANYSSA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:MS, CF SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742 MINK AVE # 205
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-6300
Mailing Address - Country:US
Mailing Address - Phone:843-252-0033
Mailing Address - Fax:843-582-0259
Practice Address - Street 1:155 AUGUSTA PLANTATION DR UNIT V
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-6445
Practice Address - Country:US
Practice Address - Phone:530-218-0853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8198235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPG0346Medicaid