NPI | 1942424585 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUG BROWN Director Of Business & Finance 870-543-4231 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#558) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-08-22 |