| NPI | 1558565499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN B HOOD Clinical Records Coordinator 662-915-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2019-04-15 |