| NPI | 1285188839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHELLE J WILSON Audiologist/Owner 762-333-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: GA 004014) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |