| NPI | 1952527467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENNETTE J IVY Department Chair 662-915-7271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2019-07-10 |