| NPI | 1306204946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MCGOWAN Speech Language Pathologist 678-793-0624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008010) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2017-01-09 |