NPI | 1053509851 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDITH JEWETT Owner 925-672-9440 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 9955) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
Enumeration Date | 2007-10-06 |
Last Update Date | 2009-03-20 |