| NPI | 1295456796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLA G LOVE Speech Language Pathology Assistant 602-702-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2022-09-05 |