| NPI | 1669145819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MCDANIEL- THOMPSON Speech Language Pathologist 843-536-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-07-25 |
| Last Update Date | 2021-07-25 |