| NPI | 1003261686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA PEAVEY-MCDONOUGH Owner 316-519-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 3502) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |