| NPI | 1306378468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE M LUKE Speech Language Pathologist 660-853-8593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |