NPI | 1013088715 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE BROWER Exec. Director 770-534-5141 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP000303) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2020-08-22 |