| NPI | 1548207665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ROBERTSON LANEY Director/Audiologist 662-627-5247 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2023-10-13 |