| NPI | 1134917198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE BUNNELL MCNICHOL Speech Language Pathologist 704-756-4373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |