White, Mary Holstein

White, Mary Holstein is an individual health care provider with primary practice located at 208 Mason Croft Drive , Sumter SC 29150. 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. White, Mary Holstein can be contacted via phone (803) 773-1893.

Contact Information

Primary practice address
208 Mason Croft Drive Sumter SC 29150
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 220 South Carolina

Profile Details

NPI number 1497828206
LBN Legal business name White, Mary Holstein
Credentials M ED CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 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 1497828206 NPPES
South Carolina MEDICAID SA0057

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