| NPI | 1295716017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLA MARIE NARLOCK Director 563-242-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 00085) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2012-09-28 |