| NPI | 1760139562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN RENEE KELLY Owner/Speech Language Pathologist 423-915-6573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2024-08-28 |