| NPI | 1023568482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY CAROL WILLIAMS Speech Language Pathologist 870-919-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP 0000005242) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |