| NPI | 1083476881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN CRISTINA FIGUEROA AYALA Speech Language Pathologist 608-895-5726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |