NPI | 1225495054 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH BLUMENTHAL President 219-756-6100 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003634A) |
Enumeration Date | 2016-01-25 |
Last Update Date | 2016-01-25 |