| NPI | 1093488405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE HEGWOOD Speech Language Pathologist 601-493-5370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-07-30 |