| NPI | 1770735045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE HALVERSON Owner 252-230-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6229) |
| Enumeration Date | 2008-10-18 |
| Last Update Date | 2023-03-22 |