| NPI | 1255105094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN DAKHNOVETS Speech Language Pathologist 567-356-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |