| NPI | 1568001378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY IVESTER Speech Language Pathologist 404-219-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |