| NPI | 1053907485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA CANNON CONGER Owner/Speech Language Pathologist 615-812-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-12-20 |
| Last Update Date | 2021-03-09 |