| NPI | 1770023350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA WALL Speech Therapist 229-326-5489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007890) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |