| NPI | 1073207205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE LAKE Speech Language Pathologist 602-820-1570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-08 |