| NPI | 1881900512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE VIRGINIA THOMPSON Owner/President 704-560-4824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2012-10-22 |