NPI | 1295261295 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA CZECH Speech Language Pathologist 678-428-8969 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004766) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |