| NPI | 1174121040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN PRICE Speech And Language Pathologist 888-974-6631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |