| NPI | 1992504617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DANICE ROBERTS Speech Language Pathologist 678-502-0521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2026-06-22 |