| NPI | 1902613714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FOURNET KOVERMAN Speech Language Pathologist 803-984-5156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |