| NPI | 1013179100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY M SCANDRETT General Partner 478-714-3807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005793) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |