NPI | 1003228164 |
---|---|
Entity Type | Organization |
Authorized Contact | ALANDA LAVALLEUR Speech Language Pathologist/Owner 918-520-9373 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OK 3318) |
Enumeration Date | 2014-05-23 |
Last Update Date | 2014-05-23 |