| NPI | 1346113263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY AGNEW Speech Language Pathologist 662-397-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2025-09-26 |