NPI | 1205990009 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER RAULERSON Seech Pathologist 706-353-3575 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP005585) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2020-08-22 |