| NPI | 1316317746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY DAWN DUCEY Speech/Language Pathologist; Owner 618-580-9071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |