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 |