| NPI | 1588874184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA LATHAN TRUESDALE Owner Speech Language Pathologist 803-235-6061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3686) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6556) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |