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 |