Phillips, Tabitha Berry

Phillips, Tabitha Berry is an individual health care provider with primary practice located at 203 N Maple Street Suite 10, Simpsonville SC 29681-2449. 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. Phillips, Tabitha Berry can be contacted via phone (864) 757-9846.

Contact Information

Primary practice address
203 N Maple Street Suite 10 Simpsonville SC 29681-2449
Phone: (864) 757-9846
Fax: (864) 757-9847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2204 South Carolina

Profile Details

NPI number 1285855627
LBN Legal business name Phillips, Tabitha Berry
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jun 19th, 2012 - about 13 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 1285855627 NPPES
South Carolina MEDICAID SA0445

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