| NPI | 1447746912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN LATRICE REYNOLDS Speech Language Pathologist 980-297-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10500) |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2018-07-30 |