| NPI | 1538457783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NICHOLAS GUNNELL Sole Practitioner 404-217-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA 003916) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |