| NPI | 1205405115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON SALLEE Speech Language Pathologist 606-303-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| 251S00000X | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-08-23 |