| NPI | 1629454384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HUSSMANN FOSS Owner 706-936-9059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008218) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |