| NPI | 1598316887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HARRIS Speech Language Pathologist 678-988-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2020-01-21 |