| NPI | 1922682293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LE PHAM Speech Language Pathologist 615-558-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2022-03-29 |