| NPI | 1730936675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA FOX WIDDOWSON Owner/Therapist 270-878-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2025-08-05 |