| NPI | 1477109874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYISHA O CHAPMAN Speech Language Pathologist 336-494-8214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |