| NPI | 1902550809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY FORTENBERY ROSSI Speech Language Pathologist/Owner 704-530-4462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |