NPI | 1528559440 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH KATHRYN ALEXANDER Speech Pathologist 228-861-3202 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QH0700X Clinic/Center Hearing and Speech | |
Enumeration Date | 2018-05-25 |
Last Update Date | 2018-09-24 |