| NPI | 1255531877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI W FLOME Speech Language Pathologist 404-822-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP00563) |
| Enumeration Date | 2007-07-22 |
| Last Update Date | 2007-07-22 |