| NPI | 1043558158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA YVONNE DONOVAN Speech Language Pathologist 678-860-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007363) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2014-10-02 |