Provider Demographics
NPI:1780915520
Name:POSTON, MARY BARON (SLP)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:BARON
Last Name:POSTON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 ORANGE BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3336
Mailing Address - Country:US
Mailing Address - Phone:843-763-1520
Mailing Address - Fax:843-769-2245
Practice Address - Street 1:1225 ORANGE BRANCH RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3336
Practice Address - Country:US
Practice Address - Phone:843-763-1520
Practice Address - Fax:843-769-2245
Is Sole Proprietor?:No
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC485235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist