| NPI | 1063965689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LAIRD HARRIS Speech Language Pathologist 843-209-8582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3058) |
| Enumeration Date | 2016-07-31 |
| Last Update Date | 2016-08-03 |