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 |