| NPI | 1629457189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA BREEDEN Speech Pathologist 704-733-0986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4895) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |