NPI | 1366932717 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL LYSZCZYK ROESCH Owner/Speech Language Pathologist 704-785-1036 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5758) |
Enumeration Date | 2018-05-11 |
Last Update Date | 2018-05-11 |