| NPI | 1578025953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH D BRYANT Speech Language Pathologist 470-636-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |