| NPI | 1265968291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL V GESSER Speech Language Pathologist 843-820-3899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 3425) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |