| NPI | 1922278233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE FITZGERALD Owner 336-926-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7044) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2010-01-21 |