| NPI | 1225121544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY GINGER MATTHEWS Speech Language Pathologist 803-270-4658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 12071099) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-22 |