| NPI | 1689059677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TATE Speech Language Pathologist 843-822-2518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4720) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |