NPI | 1275100943 |
---|---|
Entity Type | Organization |
Authorized Contact | ASYA KRENGAUZ Speech Language Pathologist/Owner 224-565-6166 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2021-06-09 |
Last Update Date | 2021-11-22 |