| NPI | 1073307468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA COUCH Speech Language Pathologist 352-650-7919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |