| NPI | 1215925896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SHEPPARD Director 814-451-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL002438L) |
| Enumeration Date | 2005-10-08 |
| Last Update Date | 2020-08-22 |