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

1727 Buck Swamp Rd
Fork, SC 29543-6116
Phone: (843) 464-6212
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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 number1639604283
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2017
Last updated in NPPESApril 20, 2017