| NPI | 1083571269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN MENDOZA Speech Language Pathologist 386-463-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-01-08 |