| NPI | 1164146668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVEN DIXON Speech Language Pathologist 901-730-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2023-12-02 |