| NPI | 1386413532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY EMANUEL Speech Language Pathologist 770-265-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2023-12-29 |