| NPI | 1891209094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEISHA CHANELLE DAVIS Owner, Speech Language Pathologist 628-233-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: MD 08247) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |