| NPI | 1114360039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MAC Speech Language Pathologist 561-670-4864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8369) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2016-01-18 |