| NPI | 1427715986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE MORRIS Speech Language Pathologist 870-588-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |