Provider Demographics
NPI:1235393349
Name:GOSS, TERRE S (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:TERRE
Middle Name:S
Last Name:GOSS
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:MUSC SPEECH PATHOLOGY
Mailing Address - Street 2:169 ASHLEY AVE MSC 335
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-0001
Mailing Address - Country:US
Mailing Address - Phone:843-876-7200
Mailing Address - Fax:843-727-6401
Practice Address - Street 1:MUSC SPEECH PATHOLOGY
Practice Address - Street 2:169 ASHLEY AVE MSC 335
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-0001
Practice Address - Country:US
Practice Address - Phone:843-876-7200
Practice Address - Fax:843-727-6401
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2311235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist