| NPI | 1265059620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MEGAN BENNETT Owner/Speech Language Pathologist 907-978-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2023-06-12 |