| NPI | 1124955075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARISSA RITER Speech Language Pathologist 270-929-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-05-05 |