| NPI | 1285907295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J SHUTE Owner 509-448-5970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00001023) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |