| NPI | 1891167169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DAVIS Co Owner 270-442-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY SLPLPA00193918) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |