| NPI | 1063957934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELISHA DIANE SPEECH Speech Languge Pathologist 601-201-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S2982) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |