Costner, Mallorie Bryan

Costner, Mallorie Bryan is an sole proprietor health care provider with primary practice located at 507 Huntington Road , Easley SC 29642. 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. Costner, Mallorie Bryan can be contacted via phone (864) 918-2361.

Contact Information

Primary practice address
507 Huntington Road Easley SC 29642
Phone: (864) 918-2361
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5677 South Carolina
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP - 2084 Idaho

Profile Details

NPI number 1942590088
LBN Legal business name Costner, Mallorie Bryan
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2011
Last updated Jun 4th, 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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