| NPI | 1407449903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY JOHNSON Speech Language Pathologist 615-751-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2025-10-11 |