NPI | 1508249053 |
---|---|
Entity Type | Organization |
Authorized Contact | ONZARIA DAVIS Speech Language Pathologist/Manager 252-657-8901 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 103902) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2015-09-15 |