NPI | 1083747646 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA F. SMEDS President 772-334-1227 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 0000900) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-08-22 |