Gregori, Tara Marie
Gregori, Tara Marie is an sole proprietor health care provider with primary practice located at 966 Governors Ct , Mount Pleasant SC 29464-9257. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Gregori, Tara Marie can be contacted via phone (843) 813-1538.Contact Information
Primary practice address
966 Governors Ct
Mount Pleasant SC 29464-9257
Phone: (843) 813-1538
Fax: (843) 884-6190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2212 | South Carolina |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1780809335 |
|---|---|
| LBN Legal business name | Gregori, Tara Marie |
| Credentials | MSP, CCC-SLP, BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Apr 10th, 2012 - about 14 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 | 1780809335 | NPPES |
| South Carolina | MEDICAID | SA0412 | |
| South Carolina | MEDICAID | EXG324 |
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