| NPI | 1912154220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACHELLE AULTMAN Speech Pathologist/Owner 601-270-6968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS s2122) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |