| NPI | 1740802487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY SHEA MARTIN Speech Language Pathologist 704-774-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |