| NPI | 1346644101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY BENNETT Speech Language Pathologist 678-770-9362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 005003SLP) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |