| NPI | 1407564040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE SUMMITT Owner/Slp 270-352-7061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-12-12 |