| NPI | 1417434986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHTON M HOTARD Speech Language Pathologist 601-852-3271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2020-10-28 |