| NPI | 1114297470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI C GILES Speech Pathologist 251-545-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 2867) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 12144657) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |