Provider Demographics
NPI:1174834923
Name:STRICKLAND, ELIZABETH C (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:C
Last Name:STRICKLAND
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 1:62 HERITAGE LAKES DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-6532
Mailing Address - Country:US
Mailing Address - Phone:843-683-3626
Mailing Address - Fax:
Practice Address - Street 1:62 HERITAGE LAKES DR
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6532
Practice Address - Country:US
Practice Address - Phone:843-683-3626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-27
Last Update Date:2010-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2901235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist