| NPI | 1447772066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH P. TUCKER Speech Language Pathologist 336-613-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9760) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2023-08-09 |