| NPI | 1174172670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY ERICA MUELLER Speech Language Pathologist 854-888-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-10-31 |