| NPI | 1093124448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE REED SPENCER Speech Language Pathologist 601-832-9684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3144) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |