| NPI | 1144716127 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARY ELIZABETH BURNS Owner/Speech Language Pathologist 541-241-8903  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2018-07-02 | 
| Last Update Date | 2021-11-01 |