| NPI | 1093345019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA TROTTER THOMPSON Speech Language Pathologist 662-712-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |