| NPI | 1821312703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARSHINA VINCENT Speech Language Pathologist 870-316-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2010-03-23 |