| NPI | 1821422585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN C BODDICKER Speech Language Pathologist 919-244-8640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |