| NPI | 1902357841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITLEY D HAMER Ccc Slp 662-544-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3813) |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2016-11-30 |