| NPI | 1912558826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA FOSBERRY Speech Language Pathologist 843-532-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |