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 |