| NPI | 1831031830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVEN NICOLE GUNN Speech Language Pathologist 404-219-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-04-08 |
| Last Update Date | 2026-04-08 |