NPI | 1073729562 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA RICHISON STUCKEY President 479-573-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AR 593) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2020-08-22 |