| NPI | 1225879133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY EBINGER Speech Language Pathologist 615-516-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |