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

Vantage Speech & Language LLC

Organization Pediatric Occupational Therapist · NPI 1063907731

Vantage Speech & Language LLC is a Pediatric Occupational Therapist in Moncks Corner, South Carolina. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
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

421 Barony St Ste 3
Moncks Corner, SC 29461-3145
Phone: (843) 790-4093
Fax: (843) 501-2297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1063907731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Guy Vinette — Owner · (843) 790-4093
NPI enumeratedJune 26, 2018
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address421 Barony St Suite 3, Moncks Corner, SC 29461-3145

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