NPI | 1689111312 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH PATTERSON TUCKER Speech Language Pathologist 336-613-2203 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9760) |
Enumeration Date | 2017-01-19 |
Last Update Date | 2017-01-19 |