NPI | 1821418963 |
---|---|
Entity Type | Organization |
Authorized Contact | KAMICA BAKER Speech Language Pathologist 678-525-9169 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007608) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2014-04-16 |