NPI | 1215452545 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSAY T GANTT Owner 803-261-8427 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5433) |
Enumeration Date | 2017-08-08 |
Last Update Date | 2022-07-21 |