| NPI | 1750515193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA H STALLINGS Owner/Slp 803-319-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3021) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |