| NPI | 1205132123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE RAE SUTHERLAND Speech Language Pathologist/Owner 319-533-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: IA 001793) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-04-12 |