NPI | 1215116132 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY ZOUBEK CEO 928-237-1890 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5107) |
Enumeration Date | 2007-10-26 |
Last Update Date | 2007-10-26 |