| NPI | 1962292532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN EPICH Speech Language Pathologist 770-853-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-08 |