NPI | 1649511866 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL BYRD Manager 336-528-4068 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4241) |
Enumeration Date | 2013-03-13 |
Last Update Date | 2013-03-13 |