| NPI | 1164565602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE N SCHUPP Administrative Operations Manager 740-369-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2025-09-11 |