| NPI | 1285218966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHTON NUNLY Speech Language Pathologist 270-952-3217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2023-03-20 |