| NPI | 1518395649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE KENNEDY Speech Language Pathologist/Owner 404-590-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007158) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2015-01-18 |