NPI | 1114459385 |
---|---|
Entity Type | Organization |
Authorized Contact | KASEY CATT SIHVONEN Owner 870-636-1610 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 3293) |
Enumeration Date | 2017-03-28 |
Last Update Date | 2017-03-28 |