| NPI | 1093580516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN S SIMMONS Speech Language Pathologist 803-707-1623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |