| NPI | 1922894617 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AUDREY MCMILLION Speech Language Pathologist 870-403-8533  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2025-04-17 | 
| Last Update Date | 2025-04-17 |