NPI | 1144624974 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL LOVELACE WADLEY Owner 501-650-2677 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP 637) |
Enumeration Date | 2014-10-22 |
Last Update Date | 2014-10-22 |