NPI | 1568998441 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRI HOVER Related Services Coordinator 843-899-9950 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 1037) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |