| NPI | 1104646652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY ANN SMITH Speech Language Pathologist/Owner 602-501-4056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2025-01-09 |