| NPI | 1730652090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLORY MANNING Speech Language Pathologist 205-799-6906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |