| NPI | 1417154725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY SMITH Clinic Supervisor 252-321-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4942) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-16 |