| NPI | 1245787480 |
|---|---|
| Doing Business As | SPEECH SPARK |
| Entity Type | Organization |
| Authorized Contact | BETH DOLAR Speech Language Pathologist 920-403-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 2614-154) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-12-07 |