OrganizationActive
Forest Lake Audiology LLC
NPI 1407212525 · Audiologist · Columbia, SC
Provider details
- NPI number
- 1407212525
- Entity type
- Organization
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Todd Gibson, Owner(803) 888-7330
- License
- SC3435 (SC)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
5301 N Trenholm Rd
Suite a
Columbia, SC 29206-3226
Phone: (803) 888-7330
Approximate (ZIP-level) locationGet directions
Mailing address
5301 N Trenholm Rd
Columbia, SC 29206-3226
Registry dates
- Enumerated
- 2016-01-05
- Last updated
- 2016-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.