| NPI | 1770715724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN D WILLIAMS Speech Language Pathologist/Owner 7703-631-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP003905) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2009-08-10 |