| NPI | 1124807771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRIE BETH LUCZEK Owner/Speech Language Pathologist 360-602-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-26 |