| NPI | 1194971507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY B. WALLACE Speech Pathologist 501-447-6844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR AR#521) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-10-15 |