Ajaeb, Kathryn Marie

Ajaeb, Kathryn Marie is an individual health care provider with primary practice located at 930 Folly Rd Ste B , Charleston SC 29412-3938. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ajaeb, Kathryn Marie can be contacted via phone (843) 314-5434.

Contact Information

Primary practice address
930 Folly Rd Ste B Charleston SC 29412-3938
Phone: (843) 314-5434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1750720017
LBN Legal business name Ajaeb, Kathryn Marie
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2013
Last updated Mar 17th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750720017 NPPES
South Carolina MEDICAID SA1473

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