SOUTHERN OAKS THERAPY SERVICES LLC
NPI 1710588942
Speech-Language Pathologist in Fairfax, SC

Active since November 04, 2020
1460 POCOTALIGO RD, FAIRFAX, SC 29827(803) 943-6401 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Oaks Therapy Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN OAKS THERAPY SERVICES LLC (NPI 1710588942) is a healthcare organization registered as a speech-language pathologist in Fairfax, South Carolina and active in the NPI registry since November 2020. The organization lists Kelly F Wall, Owner/speech Language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1710588942
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameSOUTHERN OAKS THERAPY SERVICES LLC
Location Address1460 POCOTALIGO RDFairfax, SC 29827-6826
Mailing Address1460 Pocotaligo RdFairfax, SC 29827-6826 · (803) 943-6401
Organization SubpartNo
Authorized OfficialKelly F WallOwner/speech Language Pathologist · (803) 943-6401
Enumeration DateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
NPI 1710588942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1460 POCOTALIGO RD, Fairfax, SC 29827

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1460 POCOTALIGO RD
FAIRFAX, SC 29827

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Oaks Therapy Services LLC's NPI number?

The NPI number for Southern Oaks Therapy Services LLC is 1710588942. It was assigned to this organization in the NPPES registry on November 4, 2020.

Where is Southern Oaks Therapy Services LLC located?

Southern Oaks Therapy Services LLC is located at 1460 Pocotaligo Rd, Fairfax, SC 29827. The listed phone number is (803) 943-6401.

What is Southern Oaks Therapy Services LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Southern Oaks Therapy Services LLC was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.