Provider Demographics
NPI:1427244003
Name:BELL SPEECH LANGUAGE PATHOLOGY SERVICES, INC
Entity type:Organization
Organization Name:BELL SPEECH LANGUAGE PATHOLOGY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:G
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MCD CCC-SLP
Authorized Official - Phone:843-662-2564
Mailing Address - Street 1:3715 WESTBROOK DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-8734
Mailing Address - Country:US
Mailing Address - Phone:843-662-2564
Mailing Address - Fax:
Practice Address - Street 1:3715 WESTBROOK DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-8734
Practice Address - Country:US
Practice Address - Phone:843-662-2564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3605251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health