| NPI | 1528843240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN WILLIAM LEFFERTS Owner/Speech Pathologist 843-437-8917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0700X Clinic/Center Hearing and Speech | |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-10-26 |