| NPI | 1700974227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA C. THAMES Speech/Language Pathologist 601-426-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS 34S0303) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |