| NPI | 1093859084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH MADKIN Speech Pathologist 909-908-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 1902) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2023-12-28 |