NPI | 1639237571 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRI HICKMAN TEMPLE President 404-964-4629 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP003974) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2013-10-02 |