| NPI | 1396824611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MANSUETO EDGMON Speech Pathologist 479-751-5504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AR 235) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |