| NPI | 1467964536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ANN KING Owner/Speech Language Pathologist 662-415-8613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3565) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |