| NPI | 1720125917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SMALLWOOD HOWELL CEO/Clinical Director 919-361-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4042) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 3243) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: NC SLP-A 0130) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 6728) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 5069) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-08-31 |