| NPI | 1104491125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20348) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-3517) |
| 235Z00000X Speech-Language Pathologist, (Licence: ME SP3946) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 35099) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010958) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146016774) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01202600) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005540) | |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL017036) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AK 210009) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AL 5303) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 120579) | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2025-01-13 |