| NPI | 1609997832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY W. FORD Speech Language Pathologist 479-925-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AR 907) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |