| NPI | 1003061870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY S. TAYLOR Owner 864-205-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 2692) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2013-01-14 |