| NPI | 1205221785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEISHA B FIELDS Speech Language Pathologist 601-566-5724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108116) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2017-03-30 |