| NPI | 1417092925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HALES BROGDON Director 919-630-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 3916) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 1468) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 6445) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 5846) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 3429) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 8686) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-12-05 |