| NPI | 1235502196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MELISSA MANGRUM Speech Pathologist/Owner 662-822-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2015-11-01 |
| Last Update Date | 2015-11-01 |