| NPI | 1255982161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYN MELISSA CRAWFORD Owner/Speech Pathologist 424-261-5127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2020-07-01 |