NPI | 1295197135 |
---|---|
Entity Type | Organization |
Authorized Contact | PORTIA SIMONE CARR Owner 501-773-7155 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 927660614) |
Enumeration Date | 2016-03-21 |
Last Update Date | 2019-06-04 |