| NPI | 1578256939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY LA SHAWN DORSEY Speech Language Pathologist/CEO 404-565-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |