Vantage Speech & Language LLC
NPI 1063907731ActiveOrganization· Speech-Language Pathologist· Moncks Corner, SC
Speech-Language Pathologist in Moncks Corner, South Carolina, registered in NPPES in June 2018. The authorized official on file is Guy Joseph Vinette, CCC, SLP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063907731 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2018 |
| Last updated in NPPES | Jan 23, 2023 |
| Certified by provider | Jan 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
| Occupational Therapist, Pediatrics | 225XP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
Other Speech-Language Pathologist providers in Moncks Corner
- 1295262079
- 1376070151
- 1184895302
- 1245058437
- 1912686890
- 1972011732
- 1801626320
- 1538682471
- 1689371411
- 1447734223
- 1750105110
- 1619727419
All Speech-Language Pathologist providers in South Carolina →