| NPI | 1538025382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY J CHILES Credentialing Specialist 601-618-5120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-12-24 |
| Last Update Date | 2025-12-24 |