| NPI | 1235466301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA KOURI Clinic Director 319-273-2542 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IA 115) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 00842) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |