| NPI | 1174684591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER INMAN STEPHENSON Speech Language Pathologist 910-738-6071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 5408) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2016-04-18 |