| NPI | 1255811386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA BLIZZARD Speech Language Pathologists 919-625-6689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11745) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |