| NPI | 1639722291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY E ROGERS Speech Language Pathologist 919-621-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-06-23 |