NPI | 1104072008 |
---|---|
Entity Type | Organization |
Authorized Contact | TANYA W BRYANT Slp / Owner 601-408-1003 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S2491) |
Enumeration Date | 2008-08-11 |
Last Update Date | 2008-08-11 |