Provider Demographics
NPI:1447414115
Name:JEFFRIES, CECELIA HARRIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:CECELIA
Middle Name:HARRIS
Last Name:JEFFRIES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 CLEARBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-6823
Mailing Address - Country:US
Mailing Address - Phone:803-984-9890
Mailing Address - Fax:
Practice Address - Street 1:1051 CLEARBROOK DR
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-6823
Practice Address - Country:US
Practice Address - Phone:803-984-9890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2645235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist