NPI | 1710296900 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL R. BENNETT Owner 803-443-8242 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3506) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2010-10-05 |