Provider Demographics
NPI:1164164588
Name:HALE, SYDNEY ERINN (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SYDNEY
Middle Name:ERINN
Last Name:HALE
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 1:660 W FLINTLAKE CT APT C
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-7581
Mailing Address - Country:US
Mailing Address - Phone:304-771-6961
Mailing Address - Fax:
Practice Address - Street 1:109 MOUNTAIN ASH LN UNIT C
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-3490
Practice Address - Country:US
Practice Address - Phone:843-575-8768
Practice Address - Fax:843-913-8421
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist