Provider Demographics
NPI:1568122133
Name:GARVIN, LAURA MCDOWELL (SLP-CCC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MCDOWELL
Last Name:GARVIN
Suffix:
Gender:F
Credentials:SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4421 BRIARWOOD RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-1617
Mailing Address - Country:US
Mailing Address - Phone:843-860-5217
Mailing Address - Fax:
Practice Address - Street 1:2232 CLEMSON RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-6705
Practice Address - Country:US
Practice Address - Phone:803-764-9529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-23
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7232235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist