| 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 |