| NPI | 1629570700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY JOHNSON Speech Pathologist 615-513-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 3934) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |