| NPI | 1134345390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA R. POGUE Speech Language Pathologist 479-648-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP1115) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |