| NPI | 1275004103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ELIZABETH GLINSKY Speech Language Pathologist 810-338-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |