| NPI | 1043641251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY BROOKE BUNGER Speech Language Pathologist 803-546-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 4150) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |