| NPI | 1336337567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY FOWLER President 870-261-5062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 2106) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |