| NPI | 1184163842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA F TAYLOR Owner 330-717-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 6048) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |