| NPI | 1245468214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA V. LOCKE Speech Language Pathologist 810-733-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |