Provider Demographics
NPI:1114110814
Name:EICHELSBACHER, HELEN CROASDALE (MS CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:CROASDALE
Last Name:EICHELSBACHER
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HOSPITAL CENTER BLVD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-8700
Mailing Address - Country:US
Mailing Address - Phone:843-671-7342
Mailing Address - Fax:
Practice Address - Street 1:8 HOSPITAL CENTER BLVD BLDG 2
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-8700
Practice Address - Country:US
Practice Address - Phone:843-671-7342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-26
Last Update Date:2007-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC884235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist