NPI | 1639225535 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYA MARTINE WILKINSON Director 678-570-5778 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004530) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2020-08-22 |