| NPI | 1306577200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN CHAMBERS Speech Language Pathologist 678-770-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-06-23 |