| NPI | 1023713252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACKENNA NOEL GRUBISS Speech Language Pathologist 216-288-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |