| NPI | 1225816150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN STEVEN PEREZ-CARRILLO Owner/ Speech Language Pathologist 702-527-3142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-04-30 |