| NPI | 1700606688 |
|---|---|
| Doing Business As | KRISTY L JOHNSON TAYLOR |
| Entity Type | Organization |
| Authorized Contact | KRISTY L JOHNSON TAYLOR Slp/Manager 769-226-8807 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |