| NPI | 1245712108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIBIAN JOHNSON Owner 770-898-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP001995) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD003765) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: GA AUD003765) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-07 |