| NPI | 1124445630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAINE PARKER Owner 901-729-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 4568) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |