| NPI | 1629819339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH MCEWEN Speech Language Pathologist 706-512-7636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-19 |