KIMBERLY ROBERTSON SCANLON MA, CCC-SLP
NPI 1871004085
Speech-Language Pathologist in Cottageville, SC

Active since October 14, 2017
284 BLANTON LN, COTTAGEVILLE, SC 29435(843) 909-0748 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2021, Oct 14, 2017 (2 updates tracked since 2017).

About Kimberly Robertson Scanlon Ma, Ccc-slp NPPES

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

KIMBERLY ROBERTSON SCANLON MA, CCC-SLP (NPI 1871004085) is an individual speech-language pathologist provider in Cottageville, South Carolina, licensed in South Carolina (6936) and active in the NPI registry since October 2017. She maintains a secondary practice location in Vanceburg.

NPPES Registry Identity

NPI1871004085
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLY ROBERTSON SCANLONCredential: MA, CCC-SLP
Location Address284 BLANTON LNCottageville, SC 29435-3108
Mailing Address284 Blanton LnCottageville, SC 29435-3108 · (843) 909-0748
Sole ProprietorNo
Enumeration DateOctober 14, 2017
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
NPI 1871004085 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
Licenses Licensed in SC · 6936 Licensed in KY · 168249
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.
284 BLANTON LN, Cottageville, SC 29435

Other Names 1

Former Name (1)Kimberly Lynn Robertson Ma, Ccc-slp

Secondary Practice Location 1

Location 158 Eastham StVanceburg, KY 41179-5462 · Phone (606) 796-3046

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 Kimberly Scanlon's NPI number?

The NPI number for Kimberly Scanlon is 1871004085. It was assigned to this individual provider in the NPPES registry on October 14, 2017. The provider is also known as Kimberly Lynn Robertson Ma, Ccc-Slp.

Where is Kimberly Scanlon located?

Kimberly Scanlon practices at 284 Blanton Ln, Cottageville, SC 29435. The listed phone number is (843) 909-0748.

What is Kimberly Scanlon'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 Kimberly Scanlon was last updated on January 22, 2021. 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.