| NPI | 1508078197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA KELLEY Sped Director 601-635-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS 00739094) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |