NPI | 1699025254 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY HULL DICKSON Owner, Speech Language Pathologist 843-478-7918 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3138) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2012-10-15 |