| NPI | 1801480652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDDLYN GRAY Owner / Speech Pathologist 870-761-1417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |