| NPI | 1164152872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIDY LONGVILLE LONGVILLE Co Owner / Speech Therapist 216-401-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-17 |