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 |