NPI | 1417032962 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLEN CORLEY WECKER Owner CEO 803-781-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 246) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-08-22 |