| NPI | 1538396619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN HENSLEY Owner 678-927-9319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA slp006384) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2010-05-05 |