| NPI | 1316551278 |
|---|---|
| Other Name | SPEAK LIVE PLAY |
| Entity Type | Organization |
| Authorized Contact | MELISSA REVA PETERS Director 424-279-8379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 251E00000X Home Health |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2021-04-05 |