| NPI | 1194162990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIE ANDERSON Speech Language Pathologist/Owner 775-742-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NV 1111) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2018-03-28 |