| NPI | 1225564164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE YUKOV Speech Language Pathologist 475-243-9173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001886) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |