| NPI | 1841495694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCINDA HEAVLIN President 704-895-3404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 2775) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2013-08-15 |