| NPI | 1205390051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE GOOCH Owner 727-808-8986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2023-04-18 |