| NPI | 1235206848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE TANNER HULSEY Owner 910-257-2005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6003) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |