| NPI | 1962850255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ASHLEY WILSON Speech Language Pathologist 501-831-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |