| NPI | 1144547407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY M HARRIS Speech Language Pathologist/Owner 772-418-6272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6451) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |