| NPI | 1104512870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL PICKERING Owner Povider 509-879-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-09-19 |