NPI | 1073283297 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA ANN DOYLE Speech Language Pathologist/Owner 612-564-8216 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2021-09-18 |
Last Update Date | 2021-09-18 |