Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2025
NPI: 1275428377
Practice Locations (1)
NORTHERN TIDES SPEECH AND LANGUAGE LLC
1744 SAM RITTENBERG BLVD, SUITE E
CHARLESTON, SC 294074942
6074236613
Source: CMS National Downloadable File, September 2026.