| NPI | 1154211050 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | OSMARA JUDITH FAULKNER Speech Language Pathologist/Owner 813-951-3567 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2025-07-03 | 
| Last Update Date | 2025-07-03 |