| NPI | 1033271127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA O DICKERSON Speech Pathologist 910-272-9056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 3553) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-07-16 |