NPI | 1922394212 |
---|---|
Former Name | EMILY ANN HERRON CASTLEBERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007501) |
Enumeration Date | 2011-06-24 |
Last Update Date | 2018-09-14 |