| NPI | 1811417421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA R SMITH Owner/Speech Language Pathologist 252-229-5148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2017-06-24 |