| NPI | 1043936941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAIZY YORMARK Speech Therapist 574-350-3943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2023-02-23 |