NPI | 1851840078 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLI SUMRALL Speech Language Pathologist 228-806-0616 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S2230) |
Enumeration Date | 2016-09-29 |
Last Update Date | 2016-09-29 |