| NPI | 1124489315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISSE N. GAINEY Speech Language Pathologist 919-423-0465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7297) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7513) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-23 |