| NPI | 1265942882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L BEALL Owner 904-742-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7954) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |