| NPI | 1407976400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE BLACK FELTON Speech Language Pathologist 704-536-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 1266) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-08-22 |