| NPI | 1205564655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY CAREN CRAWFORD LACKEY Owner/Clinical Director 850-445-6076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |