NPI | 1528186590 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA M MAHONE Owner 256-533-3314 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 161) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |