| NPI | 1316163389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADDIE HOLIFIELD Business Manager 601-922-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS 193200000X) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS 193200000X) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |