| NPI | 1194095315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA STEPHAN Owner/Director 352-373-5389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA112) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |