| NPI | 1013623438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA SCHROEDER Speech Language Pathologist 708-502-4889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |