| NPI | 1205195104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CRUTCHFIELD Owner/Speech Pathologist 336-337-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 1991) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |