| NPI | 1235477944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN R SHEPARD Owner 352-256-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9491) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |