Provider Demographics
NPI:1376054908
Name:CAROLINA SPEECH AND HEARING, INC.
Entity Type:Organization
Organization Name:CAROLINA SPEECH AND HEARING, INC.
Other - Org Name:CAROLINA HEALTH AND HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:803-900-4890
Mailing Address - Street 1:3681 LEAPHART RD STE A
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-3068
Mailing Address - Country:US
Mailing Address - Phone:803-900-4890
Mailing Address - Fax:803-931-3891
Practice Address - Street 1:3681 LEAPHART RD STE A
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3068
Practice Address - Country:US
Practice Address - Phone:803-900-4890
Practice Address - Fax:803-931-3891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4066231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty