| NPI | 1114961950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL KESSENICH LLC Member Manager 928-600-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP2106) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |