NPI | 1568879955 |
---|---|
Entity Type | Organization |
Authorized Contact | LATOYA COWAN BREEDEN Speech Language Pathologist/Owner 704-733-0986 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4895) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2014-07-17 |