| NPI | 1518572288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA LORENE MCGILL Speech Language Pathologist 910-734-5459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-10-23 |