Provider Demographics
NPI:1538804349
Name:MAJOR, SHANTE' DENISE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SHANTE'
Middle Name:DENISE
Last Name:MAJOR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1354 BRITTANY DR APT B
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-6292
Mailing Address - Country:US
Mailing Address - Phone:843-409-5710
Mailing Address - Fax:
Practice Address - Street 1:1354 BRITTANY DR APT B
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-6292
Practice Address - Country:US
Practice Address - Phone:843-409-5710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7635235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist