| 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 |