NPI | 1023569514 |
---|---|
Former Name | SADIE BRIGHT COLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NC 12407) |
Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY 2090) |
235Z00000X Speech-Language Pathologist, (Licence: NC 12407) | |
Enumeration Date | 2016-10-19 |
Last Update Date | 2020-10-22 |