| NPI | 1629328562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY R FOWLER Registered Agent/Therapist 901-596-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP4043) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2016-01-19 |