| NPI | 1124847918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN NICOLE BREWER Speech Language Pathologist 814-596-7306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |