Provider Demographics
NPI:1790377372
Name:PINHEIRO, HELENA RAQUEL (AUD)
Entity type:Individual
Prefix:DR
First Name:HELENA
Middle Name:RAQUEL
Last Name:PINHEIRO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 WHITEFORD WAY
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7617
Mailing Address - Country:US
Mailing Address - Phone:803-470-2621
Mailing Address - Fax:
Practice Address - Street 1:150 WHITEFORD WAY
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7617
Practice Address - Country:US
Practice Address - Phone:803-470-2621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4172231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4172OtherSOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING, AND REGULATION