| NPI | 1639061229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIERRA LUCAS Speech Language Pathologist 919-324-5859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-10-15 |