Provider Demographics
NPI:1427176205
Name:LANGLEY, SHARON BELINDA (DOCTOR OF AUDIOLOGY)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:BELINDA
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:DOCTOR OF AUDIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4213
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29240-4213
Mailing Address - Country:US
Mailing Address - Phone:803-376-0088
Mailing Address - Fax:803-794-1952
Practice Address - Street 1:3935 SUNSET BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-2403
Practice Address - Country:US
Practice Address - Phone:803-376-0088
Practice Address - Fax:803-794-1952
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC391231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSA0070Medicaid