| NPI | 1649140054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RICHARDSON Speech Language Pathologist 615-601-0589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |