| NPI | 1659108504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA J MYERS Speech Language Pathologist 870-588-6072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-17 |