| NPI | 1831894815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELCY VICTORIA BONHAM Owner 615-208-4849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 174N00000X Lactation Consultant, Non-RN | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-06-07 |