| NPI | 1093400731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON KIMBERLY PHILLIPS Owner/Slp 541-204-1757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-05-16 |