| NPI | 1063637122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM CLAY Office Manager 770-830-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP003869) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-11-07 |