| NPI | 1184095382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN R HASTINGS Speech Language Pathologist 404-550-9458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2025-02-12 |