NPI | 1487153326 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA MICHELLE DAVIS Owner/Speech Language Pathologist 864-561-5838 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 4063) |
Enumeration Date | 2018-02-06 |
Last Update Date | 2018-02-06 |