| NPI | 1033646245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TICIA JONES Office Manager 479-250-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AR 711) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2018-03-17 |