| NPI | 1982075651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY LACEFIELD President 615-496-4509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 2422) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |