| NPI | 1144503319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY J MITCHELL Owner/Speech Language Pathologist 919-332-7591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 5615) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |