NPI | 1417341280 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY BLOCK Doctor Of Audiology 803-412-6789 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: SC 4011) |
Additional Taxonomies | 231H00000X Audiologist |
235Z00000X Speech-Language Pathologist, | |
261QH0700X Clinic/Center, Hearing and Speech (Licence: NC 9758) | |
Enumeration Date | 2015-03-19 |
Last Update Date | 2021-11-19 |