NPI | 1194174508 |
---|---|
Entity Type | Organization |
Authorized Contact | PHYLLIS ATZINGER Speech Language Pathologist 502-939-4219 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 1282) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2016-06-07 |