| NPI | 1013414523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE ANN LASLEY Speech Language Pathologist 573-819-5399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |