| 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 |