| NPI | 1275277212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MCCLENDON Speech Language Pathologist 760-300-8418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-05-06 |