Provider Demographics
NPI:1629001771
Name:IMPROVED SPEECH AND SWALLOWING ASSOCIATES
Entity Type:Organization
Organization Name:IMPROVED SPEECH AND SWALLOWING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:ARTEDIUS
Authorized Official - Last Name:BESS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:843-407-0146
Mailing Address - Street 1:2330 JULIE ANN DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6361
Mailing Address - Country:US
Mailing Address - Phone:843-407-0146
Mailing Address - Fax:843-407-0150
Practice Address - Street 1:2330 JULIE ANN DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6361
Practice Address - Country:US
Practice Address - Phone:843-407-0146
Practice Address - Fax:843-407-0150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2008-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP4442Medicaid