| NPI | 1033818026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN PORTER Owner/Speech Language Pathologist 601-810-3705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-03-07 |