| 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 | 174N00000X Lactation Consultant, Non-RN |
| 225X00000X Occupational Therapist | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2024-09-19 |