| NPI | 1053820696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA CLAIRE PARKER Owner 870-577-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 3529) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |