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 |