Deluca, Tina
Deluca, Tina is an individual health care provider with primary practice located at 1407 Joy Ave , Charleston SC 29407-3605. 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. Deluca, Tina can be contacted via phone (843) 766-6753.Contact Information
Primary practice address
1407 Joy Ave
Charleston SC 29407-3605
Phone: (843) 766-6753
Fax: (843) 766-1430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3225 | South Carolina |
Profile Details
| NPI number | 1689623860 |
|---|---|
| LBN Legal business name | Deluca, Tina |
| Credentials | M.A., CCC-SLP, M.ED. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689623860 | NPPES |
| South Carolina | MEDICAID | SA0462 |
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