| NPI | 1932227550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA CLUBB Slp 870-866-2940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP1215) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |