Provider Demographics
NPI:1538498357
Name:FEUERSTEIN, ELIZABETH GEIGER (MEDCCC (SLP))
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:GEIGER
Last Name:FEUERSTEIN
Suffix:
Gender:F
Credentials:MEDCCC (SLP)
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:FEUERSTEIN-SEALE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED CCC (SLP)
Mailing Address - Street 1:PO BOX 24617
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29224-4617
Mailing Address - Country:US
Mailing Address - Phone:803-629-9976
Mailing Address - Fax:
Practice Address - Street 1:20 GLENLAKE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-5908
Practice Address - Country:US
Practice Address - Phone:803-629-9976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-08
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC142235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist