Basic Information
| Provider Information | |||||||||
| NPI: | 1164663738 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SINGER | ||||||||
| FirstName: | MOLLY | ||||||||
| MiddleName: | PRESHAK | ||||||||
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| Credential: | SLP-CCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 997 | ||||||||
| Address2: | |||||||||
| City: | CLOVER | ||||||||
| State: | SC | ||||||||
| PostalCode: | 297100997 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8032225116 | ||||||||
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| Practice Location | |||||||||
| Address1: | 111 HARRILSON RD | ||||||||
| Address2: | |||||||||
| City: | CHERRYVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280219541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7044354161 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/11/2009 | ||||||||
| LastUpdateDate: | 03/11/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 8368 | NC | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.