| NPI | 1083417067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY DAVIS Speech Language Pathologist 270-216-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |