| NPI | 1992097596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE THERESE MILLER Speech Language Pathologist 770-426-9915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP001704) |
| Enumeration Date | 2011-05-14 |
| Last Update Date | 2011-05-14 |