NPI | 1609208453 |
---|---|
Entity Type | Organization |
Authorized Contact | WALESKA M ACKERMAN President 770-634-9048 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP 008122) |
Enumeration Date | 2013-08-04 |
Last Update Date | 2013-08-04 |