| NPI | 1053538009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN ELIZABETH LEWIS Owner CEO 850-769-5971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA0004722) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |