| NPI | 1548214125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY JACKSON Speech Language Pathologist 919-821-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-07-21 |