| NPI | 1194564203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DENMAN SMITH Speech Language Pathologist 336-281-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |