| NPI | 1346647799 |
|---|---|
| Doing Business As | PEDIATRIC THERAPEUTIC COACHING |
| Entity Type | Organization |
| Authorized Contact | SUSAN M WALTERS Speech/Language Pathologist 704-787-0224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5556) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7056) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |