| NPI | 1235737784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN DONAHUE Speech Language Pathologist 623-776-6189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| 251E00000X Home Health | |
| 261QA3000X Clinic/Center Augmentative Communication | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |