| NPI | 1346715547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HICKLIN Speech Language Patholigst 803-367-6109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |