| NPI | 1013654920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLA L ABELE-STEPHENS Speech And Language Pathologist 772-267-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2023-04-06 |