NPI | 1720098536 |
---|---|
Doing Business As | LOOPER SPEECH & HEARING CENTER |
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 |