| Northern Tides Speech And Language L.l.c. | |
| 1744 Sam Rittenberg Blvd, Charleston, SC 29407-4935 | |
| (607) 423-6613 | |
| (843) 375-6177 | 
| Full Name | Northern Tides Speech And Language L.l.c. | 
|---|---|
| Type | Facility | 
| Speciality | Speech-language Pathologist | 
| Location | 1744 Sam Rittenberg Blvd, Charleston, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750788410 | NPI | - | NPPES | 
| Provider Name | Stephen Anthony Cutia | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1558679464 PECOS PAC ID: 8921226374 Enrollment ID: I20140826001832 | 
| Provider Name | Kylie Erin Cook | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1619449709 PECOS PAC ID: 3870988009 Enrollment ID: I20220324001688 | 
| Provider Name | Meredith Hi Nance | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1801464847 PECOS PAC ID: 4183010978 Enrollment ID: I20220404001414 | 
| Provider Name | Stacy Ester-ellen Jones | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1033855176 PECOS PAC ID: 0244614469 Enrollment ID: I20220907000573 | 
| Provider Name | Jillian Rae Brown | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1750040929 PECOS PAC ID: 9830560143 Enrollment ID: I20230125000463 | 
| Provider Name | Brittany Joyce Randall | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1336823046 PECOS PAC ID: 7911366604 Enrollment ID: I20230628002825 | 
| Provider Name | Nia Marie Lombardo | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1922771039 PECOS PAC ID: 6709247166 Enrollment ID: I20230801003010 | 
| Provider Name | Emma Haller Crossland | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1881387108 PECOS PAC ID: 4981144862 Enrollment ID: I20240905003918 | 
| Provider Name | Madisyn Komar | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1811609779 PECOS PAC ID: 8527433036 Enrollment ID: I20250106002275 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Northern Tides Speech And Language L.l.c. 1329 National Dr, Mt Pleasant, SC 29466-8979 Ph: (843) 708-9138 | Northern Tides Speech And Language L.l.c. 1744 Sam Rittenberg Blvd, Charleston, SC 29407-4935 Ph: (607) 423-6613 | 
| Mrs. Carrie S Hamilton, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 251 Marsh Oaks Dr, Charleston, SC 29407 Phone: 843-810-3078 Fax: 843-556-1212 | |
| Mrs. Kelli Gaudin Priest, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 930 Folly Rd Ste B, Charleston, SC 29412 Phone: 843-314-5434 | |
| Lori-ann Ferraro, PH.D., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 35 Folly Road Blvd, Charleston, SC 29407 Phone: 352-213-3056 | |
| Caroline Rae, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3100 Carner Avenue, Charleston, SC 29405 Phone: 619-246-5914 | |
| Ann Louise Duncan Covington,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1170 Folly Rd, Charleston, SC 29412 Phone: 843-754-6422 | |
| Lisa Willmuth, CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1170 Folly Rd, Charleston, SC 29412 Phone: 843-754-6422 Fax: 877-889-2029 | |
| Jean T Morgan, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 75 Calhoun St, Charleston, SC 29401 Phone: 843-937-6380 |