| NPI | 1972164341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE ANN SANDERSON Speech Language Pathologist 843-610-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |