NPI | 1164782397 |
---|---|
Doing Business As | SPEECH PATH OF BREVARD |
Entity Type | Organization |
Authorized Contact | LISA M. PURDY Slp/Owner 321-241-4816 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9278) |
Enumeration Date | 2012-05-22 |
Last Update Date | 2012-06-20 |