| NPI | 1457131666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JUANITA FUSSMAN Owner, Speech Language Pathologist 615-513-4028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |