| NPI | 1528667714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAEGAN K EVANS Speech Language Pathologist 803-318-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |