| NPI | 1164058178 |
|---|---|
| Former Legal Business Name | SPEECHOLOGY101 |
| Entity Type | Organization |
| Authorized Contact | LISANDRA LIZ Speech Pathologyst 786-269-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2020-03-21 |