| NPI | 1265851380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE THERIOT Speech Language Pathologist 601-889-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |