| NPI | 1063133205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA KILGORE Owner/Slp 239-312-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2023-07-17 |