NPI | 1376608612 |
---|---|
Entity Type | Organization |
Authorized Contact | ELEANOR GRAY SMITH President 843-856-4949 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 312) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2020-08-22 |