| NPI | 1285365130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN MCULLOUGH Speech Language Pathologist/Owner 724-787-6049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |