| NPI | 1104124296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DEANNE FARRELL Speech Pathologist 601-798-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MS S3402) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |