Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Oaks Therapy Services LLC

Organization Speech-Language Pathologist · NPI 1710588942

Southern Oaks Therapy Services LLC is a Speech-Language Pathologist in Fairfax, South Carolina. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1460 Pocotaligo Rd
Fairfax, SC 29827-6826
Phone: (803) 943-6401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1710588942
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Wall — Owner/Speech Language Pathologist · (803) 943-6401
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address1460 Pocotaligo Rd, Fairfax, SC 29827-6826

Other providers in Fairfax