NPI | 1083062889 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMEKA HOOKS-TENORT Speech Language Pathologist 769-798-7378 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3351) |
Enumeration Date | 2016-06-02 |
Last Update Date | 2018-04-05 |