| NPI | 1073773859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A. MILLER Speech Language Pathologist 803-649-0981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3111) |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2008-06-14 |