| NPI | 1982069613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN GOODMAN Speech Therapist 704-564-4659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 5700) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |