| NPI | 1073641825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILARY AYERS DIETRICH Owner/Operator 252-619-5299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 4702) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2013-07-09 |