| NPI | 1164204384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARLEE RUTH PAETZOLD Owner/Speech Language Pathologist 270-634-8104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2025-02-09 |