NPI | 1164731253 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY BOECKMANN KING Owner/Speech Language Pathologist 870-588-1997 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2403) |
Enumeration Date | 2010-10-06 |
Last Update Date | 2014-09-18 |