NPI | 1659990109 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEMEKA CUSACK Speech Language Pathologist 843-409-9240 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2020-04-14 |
Last Update Date | 2020-04-14 |