NPI | 1083944425 |
---|---|
Entity Type | Organization |
Authorized Contact | DENA JENKINS Speech Language Pathologist 479-650-3144 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AR SP#1195) |
Enumeration Date | 2010-01-07 |
Last Update Date | 2010-01-07 |