NPI | 1992170781 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAMONA MILLER Speech Language Patbologist/Owner 601-754-4524 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3363) |
Enumeration Date | 2015-12-06 |
Last Update Date | 2015-12-06 |