NPI | 1881004786 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSEY GANAS Owner 843-560-9172 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5196) |
Enumeration Date | 2014-04-30 |
Last Update Date | 2014-04-30 |