NPI | 1225408594 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA GURWIN TOMPKINS Speech And Language Pathologist 248-320-3121 |
Organization Subpart ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101002214) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2015-09-30 |