Provider Demographics
NPI:1902464779
Name:LINKS TO LITERACY
Entity Type:Organization
Organization Name:LINKS TO LITERACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROACH
Authorized Official - Suffix:
Authorized Official - Credentials:MSP, CCC/SLP
Authorized Official - Phone:843-409-2585
Mailing Address - Street 1:5045 OLIVER RD
Mailing Address - Street 2:
Mailing Address - City:TIMMONSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29161-7723
Mailing Address - Country:US
Mailing Address - Phone:843-409-2585
Mailing Address - Fax:
Practice Address - Street 1:3540 SHADOW CREEK DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-7016
Practice Address - Country:US
Practice Address - Phone:843-409-2585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty