| NPI | 1588492680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ELLISON Lead Speech Language Pathologist 843-291-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |