| NPI | 1902134174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON H WAID Speech/Language Pathologist 334-826-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 1599) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |