| NPI | 1023288982 |
|---|---|
| Doing Business As | SPEECH PATHERAPY |
| Entity Type | Organization |
| Authorized Contact | KELLI LYNN GRANILLO Manager/Member 702-235-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1063) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |