NPI | 1356313340 |
---|---|
Entity Type | Organization |
Authorized Contact | DEEDRA ANN BRANSCUM President 479-790-7979 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 1654) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2021-09-18 |