Provider Demographics
NPI:1508832320
Name:THE SPEECH AND HEARING CENTER OF YORK AND CHESTER COUNTIES, INC.
Entity Type:Organization
Organization Name:THE SPEECH AND HEARING CENTER OF YORK AND CHESTER COUNTIES, INC.
Other - Org Name:THE SPEECH & HEARING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOPE
Authorized Official - Suffix:
Authorized Official - Credentials:MSP, CCC-SLP
Authorized Official - Phone:803-329-1520
Mailing Address - Street 1:1721 EBENEZER RD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-4103
Mailing Address - Country:US
Mailing Address - Phone:803-329-1520
Mailing Address - Fax:803-366-5027
Practice Address - Street 1:1721 EBENEZER RD
Practice Address - Street 2:SUITE 225
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-4103
Practice Address - Country:US
Practice Address - Phone:803-329-1520
Practice Address - Fax:803-366-5027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-23
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC355738Medicaid
SC355738Medicaid
SC5027Medicare PIN