| NPI | 1245521376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA GORDON Speech Language Pathologist 704-464-8564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7507) |
| Enumeration Date | 2011-04-24 |
| Last Update Date | 2011-04-24 |