NPI | 1114050028 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA Y OSBORNE Speech Language Pathologist, Owner 704-728-6929 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6343) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6278) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2013-07-11 |