| NPI | 1063280238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY PRUNTY Speech Language Pathologist 248-318-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |