Mutcherson, Desiree D

Mutcherson, Desiree D is an individual health care provider with primary practice located at 200 Keats Dr 221, Spartanburg SC 29301-4956. 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. Mutcherson, Desiree D can be contacted via phone (813) 545-3042.

Contact Information

Primary practice address
200 Keats Dr 221 Spartanburg SC 29301-4956
Phone: (813) 545-3042
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA5247 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5292 South Carolina
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP-1568 Hawaii

Profile Details

NPI number 1962504662
LBN Legal business name Mutcherson, Desiree D
Credentials MS,CCC/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Aug 2nd, 2016 - about 9 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 1962504662 NPPES
Florida MEDICAID 681570796
Florida MEDICAID 888523100

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