| NPI | 1386242147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN BREED Speech Language Pathologist 770-904-9451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |