| NPI | 1275159808 |
|---|---|
| Doing Business As | STATE OF MIND SPEECH AND SWALLOWING |
| Entity Type | Organization |
| Authorized Contact | AINSLEY S MARTIN Owner 315-372-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2024-09-18 |