| NPI | 1609647734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK HENDERSON Speech Language Pathologist/Owner 615-669-2547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |