| NPI | 1023764701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL GIACO Speech Language Pathologist 405-593-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-09-14 |