| NPI | 1558862748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER A CLECKLEY Speech Pathologist 678-471-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |