| NPI | 1174055099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE WEDGEWORTH Speech Language Pathologist 501-944-6338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |