| NPI | 1669540480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SUSANNE GONZALEZ Speech Language Pathologist 478-213-4604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005082) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2013-03-25 |