| NPI | 1477950533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE LEWIS Co Owner 478-987-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005641) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |