| 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 |