| NPI | 1134840770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HUSTED Speech Language Pathologist 339-793-3684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |