| 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 |