| NPI | 1073292850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEIDA YVONNE PARKER Speech Language Pathologist 678-249-9956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |