| NPI | 1316049778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN E CROCKETT Speech Language Pathologist 813-933-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA774) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |