| NPI | 1598947475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE CRAIN Owner 662-226-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS SO798) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |