| NPI | 1376719005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M THERIONT Speech Therapist 601-799-4065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3081) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2025-12-03 |