| NPI | 1689755241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LORRINE BARNES Owner/Manager 919-577-6807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4178) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-07-27 |