| NPI | 1861928707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI ANN LAWLER Speech Language Pathologist 843-509-4127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 544) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |