| NPI | 1528527405 |
|---|---|
| Doing Business As | KIM S. HAVARD, MS CCC-SLP |
| Entity Type | Organization |
| Authorized Contact | KIM S. HAVARD Owner/Provider 601-408-1365 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |