Provider Demographics
NPI:1043406879
Name:MCAFEE, LETICIA P (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LETICIA
Middle Name:P
Last Name:MCAFEE
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 1:120 WESTOVER DR
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-7289
Mailing Address - Country:US
Mailing Address - Phone:843-572-6980
Mailing Address - Fax:843-572-6980
Practice Address - Street 1:120 WESTOVER DR
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-7289
Practice Address - Country:US
Practice Address - Phone:843-572-6980
Practice Address - Fax:843-572-6980
Is Sole Proprietor?:No
Enumeration Date:2007-09-14
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3334235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist