Provider Demographics
NPI:1427287523
Name:ROZIER-BRYANT, HOPE (CCC/SLP)
Entity type:Individual
Prefix:DR
First Name:HOPE
Middle Name:
Last Name:ROZIER-BRYANT
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:987 B WEST CAROLINA AVENUE
Mailing Address - Street 2:
Mailing Address - City:VARNVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29944-2162
Mailing Address - Country:US
Mailing Address - Phone:803-943-3191
Mailing Address - Fax:803-943-3128
Practice Address - Street 1:987 B WEST CAROLINA AVENUE
Practice Address - Street 2:
Practice Address - City:VARNVILLE
Practice Address - State:SC
Practice Address - Zip Code:29944-2162
Practice Address - Country:US
Practice Address - Phone:803-943-3191
Practice Address - Fax:803-843-3128
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-09
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2027235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSA0709Medicaid