| NPI | 1013155118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE M GOOCH Clinical Director 727-808-8986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa4615) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |