NPI | 1124334206 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTOINETTE BRYANT Speech/Language Pathologist 248-683-7116 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 00801548) |
Enumeration Date | 2010-08-26 |
Last Update Date | 2010-08-26 |