NPI | 1215474812 |
---|---|
Entity Type | Organization |
Authorized Contact | JANELLE FENWICK Owner 484-883-2481 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9445) |
Enumeration Date | 2017-01-21 |
Last Update Date | 2017-01-21 |