| NPI | 1023818069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE M HINES Speech Language Pathologist 404-604-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |