NPI | 1205260049 |
---|---|
Entity Type | Organization |
Authorized Contact | JORDAN BECK Owner 414-807-7512 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3132-154) |
Enumeration Date | 2013-08-28 |
Last Update Date | 2013-08-28 |