| NPI | 1528684057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WILLIFORD HENNINGS Speech Pathologist 803-993-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2025-03-04 |