| NPI | 1720098536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHIE LANE EDWARDS President/CEO 706-226-4623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA J213493) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA J213493) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2009-06-12 |