| NPI | 1164080974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A CARRICO Speech Language Pathologist 260-438-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |