NPI | 1104236025 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE FOWLER NEWHOUSE President 866-880-6798 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2002025840) |
Enumeration Date | 2014-04-30 |
Last Update Date | 2014-04-30 |