| NPI | 1255002580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY ANNE EDYBURN Speech Language Pathologist 984-202-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2022-12-21 |