| NPI | 1215442686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ADDISON WEAVER Speech Language Pathologist 704-727-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4952) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2018-05-04 |