| NPI | 1134164528 |
|---|---|
| Other Name | CHILDREN'S THERAPEUTIC LEARNING CENTER |
| Entity Type | Organization |
| Authorized Contact | TRISHA M LARSON Billing COO Rdinator 816-389-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 2006014615) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2011-10-06 |