| NPI | 1134853609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH FERNANDEZ Speech Language Pathologist 304-638-4788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |