NPI | 1720499544 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKE WYATT Speech Language Pathologist 501-590-5940 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 104353) |
Enumeration Date | 2014-05-14 |
Last Update Date | 2014-05-14 |