NPI | 1649400334 |
---|---|
Entity Type | Organization |
Authorized Contact | TANYA L. WESCOTT President, Speech Lang Pathologist 910-297-0518 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH ST.10813) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7301) |
Enumeration Date | 2009-07-16 |
Last Update Date | 2014-06-16 |