Prince, Teffeny Alisa

Prince, Teffeny Alisa is an individual health care provider with primary practice located at 1450 Lartique Dr , Orangeburg SC 29118-2025. 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. Prince, Teffeny Alisa can be contacted via phone (803) 387-2065.

Contact Information

Primary practice address
1450 Lartique Dr Orangeburg SC 29118-2025
Phone: (803) 387-2065
Fax: (803) 533-1440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3962 South Carolina

Profile Details

NPI number 1871530857
LBN Legal business name Prince, Teffeny Alisa
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871530857 NPPES
South Carolina MEDICAID SA0720

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