NPI | 1184225831 |
---|---|
Doing Business As | IDEAL SPEECH |
Entity Type | Organization |
Authorized Contact | MARY JENNIFER ZIMMERMAN Speech Language Pathologist/Owner 904-385-3304 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2020-11-07 |
Last Update Date | 2020-11-07 |