| NPI | 1043361504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYE O'NEAL HARPER Speech Language Pathologist 850-668-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA151) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |