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

Carissa Throckmorton

Individual provider Speech-Language Pathologist · NPI 1639604283

Carissa Throckmorton is a Speech-Language Pathologist in Fork, South Carolina. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1727 Buck Swamp Rd
Fork, SC 29543-6116
Phone: (843) 464-6212
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1639604283
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2017
Last updated in NPPESApril 20, 2017
Mailing address1727 Buck Swamp Rd, Fork, SC 29543-6116