| NPI | 1861360307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL JAYNE JORDAN CLARK Speech Language Pathologist 256-384-8582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |