| NPI | 1225322472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C CARROLL Speech Language Pathologist, Owner 704-918-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6699) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 5379) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |