| NPI | 1114472362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE PATTON BUCKNER Speech Language Pathologist 228-326-3253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 111543) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |