| NPI | 1205063138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPAL DIONNE WILLIAMS Speech Language Pathologist/Owner 919-771-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6914) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4240) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 19026) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2011-12-31 |