Provider Demographics
NPI:1558628750
Name:SOUND FOUNDATION, LLC
Entity type:Organization
Organization Name:SOUND FOUNDATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAPER
Authorized Official - Suffix:
Authorized Official - Credentials:MSP CCC-SLP
Authorized Official - Phone:803-530-7917
Mailing Address - Street 1:PO BOX 412
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-0412
Mailing Address - Country:US
Mailing Address - Phone:803-530-7917
Mailing Address - Fax:888-581-6128
Practice Address - Street 1:100 BRAMBLE RD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-8669
Practice Address - Country:US
Practice Address - Phone:803-530-7917
Practice Address - Fax:888-581-6128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4162235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty