| NPI | 1194965350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA JACKSON Owner/Speech Pathologist 803-206-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4374) |
| Enumeration Date | 2009-03-01 |
| Last Update Date | 2009-03-01 |