| NPI | 1134412380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY GILLIOM Speech Language Pathologist/Owner 919-358-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7785) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-07-07 |