| NPI | 1891489266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MONAGHAN Speech Language Pathologist 662-571-7114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |