NPI | 1457574279 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA HOLLY CYRIER Manager Member 704-604-7761 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6011) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2010-06-10 |