| NPI | 1760016612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HATCHER Speech Language Pathologist 229-881-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2020-03-04 |