NPI | 1144366329 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA LEE EARNHEART Owner 352-795-4181 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7047) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2011-03-15 |