| NPI | 1558622720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D'JARIS RENEE WHITE Speech Language Pathologist 678-901-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005812) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |