| NPI | 1922595800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN FOWLER-BERKEN Speech Language Pathologist 828-332-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8653) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2019-03-13 |