| NPI | 1245597269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI BERRYMAN Executive Director 850-279-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11523) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |