| NPI | 1821672767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARNELLE MCCLELLAN Speech Language Pathologist 336-383-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |