| NPI | 1043764541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANIE LENTZ Owner 704-682-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6344) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |