| NPI | 1164340493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA BROOKE DAVIS Speech Language Pathologist 850-257-4766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-07-06 |
| Last Update Date | 2026-07-06 |