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 |