| NPI | 1134123045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALLISON REIDENBACH Owner, Speech Language Pathologist 843-697-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3695) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2008-10-31 |