| NPI | 1841078698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA PHILLIPS Speech Language Pathologist 270-316-8863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |