| NPI | 1750876793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ANTOINETTE JOHNSON Owner/Speech Language Pathologist 601-543-8457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 4138) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |