| NPI | 1467032953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BROWN CORBAN Speech Language Pathologist 662-579-8508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2022-05-23 |