Provider Demographics
NPI:1689059677
Name:BEYOND SPOKEN WORDS, LLC
Entity Type:Organization
Organization Name:BEYOND SPOKEN WORDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:TATE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:843-822-2518
Mailing Address - Street 1:2245 ASHLEY CROSSING DR UNIT C
Mailing Address - Street 2:SUITE 172
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5704
Mailing Address - Country:US
Mailing Address - Phone:843-822-2518
Mailing Address - Fax:
Practice Address - Street 1:562 SAVILLE ROW
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-9008
Practice Address - Country:US
Practice Address - Phone:843-822-2518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4720235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty