| NPI | 1346634953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY FOX Speech Language Pathologist 870-671-4871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AR 14-0150) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |