| 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 |