| NPI | 1588179659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL M STOOT Owner 334-781-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3822) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |