| NPI | 1780369959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA DUDLEY Speech Language Pathologist 704-942-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |