| NPI | 1083310445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN MCLENDON Speech Language Pathologist 267-970-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |