| NPI | 1356011076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALINDA K KEMP Speech Language Pathologist 704-267-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |