| NPI | 1043733157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIONNA M PICKENS Speech Language Pathologist 419-202-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP10852) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2022-07-21 |