| NPI | 1376881128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MARIE POLICELLA Speech Language Pathologist / Owner 910-793-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2018-08-16 |