| NPI | 1245539089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY E PELLEY Speech Pathologist 918-707-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-18 |