| NPI | 1013744184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA DALEZMAN Speech Language Pathologist 248-819-2748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |