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 |