NPI | 1063661775 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA MARIE FOX Chief Clinical Officer 520-631-2996 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 010700) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP1177) |
Enumeration Date | 2008-09-17 |
Last Update Date | 2008-09-17 |