NPI | 1235680851 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE KIMBERLY GREGG Speech Language Pathologist 707-372-5686 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18193) |
Enumeration Date | 2016-10-18 |
Last Update Date | 2016-10-18 |