| NPI | 1770706210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKY TINER Speech Language Pathologist 501-208-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#1091) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |