| NPI | 1295100980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE MAE SCHEETZ Office Manager 850-384-3790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9397) |
| Enumeration Date | 2015-12-06 |
| Last Update Date | 2018-08-30 |