NPI | 1104977404 |
---|---|
Former Legal Business Name | STALEY SPEECH THERAPY SERVICES, INC |
Entity Type | Organization |
Authorized Contact | DONNA M. BROWN President/Owner 912-450-7367 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP003005) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2015-04-21 |