| NPI | 1275266355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN DEA HARTLEY Speech Language Pathologist, Owner 304-288-6115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |