| NPI | 1053482992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN STRAUSSER Assistant Director 904-355-3403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |