Provider Demographics
NPI:1457982704
Name:PASCHAL, ADREANNA TRUESDELL (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ADREANNA
Middle Name:TRUESDELL
Last Name:PASCHAL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 FARM SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-0843
Mailing Address - Country:US
Mailing Address - Phone:706-726-9163
Mailing Address - Fax:
Practice Address - Street 1:1611 FARM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-0843
Practice Address - Country:US
Practice Address - Phone:706-726-9163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty