| NPI | 1740341916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAEANNE BRISENDINE President 479-478-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 1457) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |