| 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 |