| NPI | 1265782684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON MCCUEN Owner 313-595-3693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06843) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2013-08-06 |