| NPI | 1992421846 |
|---|---|
| Doing Business As | SOUTHSIDE SPEECH THERAPY |
| Entity Type | Organization |
| Authorized Contact | LAUREN ELIZABETH SORRELL Owner/Slp 770-853-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |