| NPI | 1174814826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA PRENDERGAST Owner 404-474-1627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006706) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |