| NPI | 1245758069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYCE ROUSE Owner 770-355-0719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 026938) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2022-07-21 |