| NPI | 1184052664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA ASHLEY GAY Speech Language Pathologist 843-277-4072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4655) |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2020-08-06 |