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

Individual provider Speech-Language Pathologist · NPI 1194551986

Judith Defoor, CCC-SLP is a Qualified Speech Language Pathologist in Greenville, South Carolina. Qualified in 2021, 5 years ago. Practices with Privia Medical Group South Carolina, LLC, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2024
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1 Doctors Dr
Greenville, SC 29605-4266
Phone: (864) 572-7001
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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 · Licence 7751 (SC)

Record details

NPI number1194551986
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Privia Medical Group South Carolina, Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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