| NPI | 1710330683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON THAYER President/Owner 843-216-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5866) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |