| NPI | 1356572382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA LASHAWN DIXON-THOMPSON Speech Language Pathologist 704-626-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7133) |
| Enumeration Date | 2009-08-08 |
| Last Update Date | 2021-09-22 |