NPI | 1104978816 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON BURCHETT SCHIEDER Speech Language Pathologist Owner 919-342-5754 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 5085) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 2980) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-08-22 |