| NPI | 1518604891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLBY JOHN WELLS Speech Language Pathologist/Owner 229-630-2082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |