| NPI | 1033508528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A STORCH Office Manager 770-977-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008754) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |