| NPI | 1235502519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARIE NOLAN Speech Language Pathologist 858-354-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 9913) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-16 |