| NPI | 1265983514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LEE Office Manager 520-300-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5300) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |