| NPI | 1154456473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OSCAR CARLBERG President 314-225-9769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 01385) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |