NPI | 1689056178 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANNELL CLARK SUMMERS Speech Language Pathologist 803-378-3768 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8967) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2015-06-22 |