| NPI | 1295802478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE NANGLE HOWLAND Director Of Operations 904-355-3403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2019-05-07 |