| NPI | 1346178639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELA BANKS Speech Language Pathologist 662-671-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-05-08 |
| Last Update Date | 2026-06-12 |