| NPI | 1578155404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE CASEY Speech Language Pathologist/Owner 423-403-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |