| NPI | 1508450644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGAN D CARTER Speech Language Pathologist 910-527-3086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-03-01 |