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 |