NPI | 1215395793 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIE JOYCE PAYNE-MORRIS Speech Language Pathologist 228-861-0584 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S1120) |
Enumeration Date | 2016-01-29 |
Last Update Date | 2016-01-29 |