NPI | 1225743305 |
---|---|
Entity Type | Organization |
Authorized Contact | OLIVIA HOUGLAND Owner/Speech Language Pathologist 270-449-3020 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2023-01-23 |
Last Update Date | 2024-11-18 |