| NPI | 1306157524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI S BOZARD Owner 803-622-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3884) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |