| NPI | 1235463860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FARRAGUT MARTIN Speech Language Pathologist 601-466-0876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S2463) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2011-02-01 |