| NPI | 1164836482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY STAR SKILLERN Owner 567-303-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.8781) |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2014-06-14 |