| NPI | 1154692929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY C HOGAN Speech Language Pathologist/Owner 229-242-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004888) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |