| NPI | 1780032821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YALONDA SENIECE JOHNSON PACKER Speech Language Pathologist 910-305-6469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10427) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |