| NPI | 1629544341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA RENEE SYKES-CLARK Speech Language Pathologist 404-421-2896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-10-20 |
| Last Update Date | 2024-09-05 |