| NPI | 1265008106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN PAIGE HICKS Owner, Speech Pathologist 678-654-1869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |