| NPI | 1215380993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA PATRICK Speech Language Pathologist 205-821-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |