| NPI | 1518090075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL MARIE BIZUB Administrator 919-870-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-06-10 |