| NPI | 1184854085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEYNN MEYNCKE GRIGAS Director Of Speech Lang. Pathology 765-491-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009061) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |