NPI | 1033532403 |
---|---|
Doing Business As | GRETCHEN STORM |
Entity Type | Organization |
Authorized Contact | GRETCHEN V STORM Speech Language Pathologist 269-330-1403 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001641) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2014-01-21 |