Provider Demographics
NPI:1043644248
Name:SALVINO, GINNY LEIGH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:GINNY
Middle Name:LEIGH
Last Name:SALVINO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:GINNY
Other - Middle Name:LEIGH
Other - Last Name:WIGGINTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:235 FAIRCHILD ST
Mailing Address - Street 2:
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-7516
Mailing Address - Country:US
Mailing Address - Phone:662-279-1794
Mailing Address - Fax:
Practice Address - Street 1:235 FAIRCHILD ST
Practice Address - Street 2:
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-7516
Practice Address - Country:US
Practice Address - Phone:662-279-1794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-25
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC270458235Z00000X
WA235Z00000X
SC5552235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist