| NPI | 1669963997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY JANE DORAMUS Speech Pathologist 501-454-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |