| NPI | 1639946551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA KELLY Speech Language Pathologist 678-357-6409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-12 |