| NPI | 1396002341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY DEES JOHNSON Owner 252-638-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 6678) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |